Individual
JON PAUL RAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2900 FRESNO ST, STE108, FRESNO, CA 93721-1439
(559) 486-1869
Mailing address
2900 FRESNO ST, STE108, FRESNO, CA 93721-1439
(559) 486-1869
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
C50495
CA
Other
Enumeration date
10/03/2007
Last updated
10/08/2014
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