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Individual

KAREN MARIE RAY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PNP

Contact information

Practice address
9300 VALLEY CHILDRENS PL, MADERA, CA 93636-8761
(559) 353-3000
Mailing address
9300 VALLEY CHILDRENS PL, MADERA, CA 93636-8761
(559) 353-3000

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
22186
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
22186
NP NUMBER
CA
Enumeration date
09/25/2012
Last updated
09/25/2012
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