Individual
KRISTEL RAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2799 W GRAND BLVD, DETROIT, MI 48202-2608
(313) 916-3554
Mailing address
6045 WESTKNOLL DR, #477, GRAND BLANC, MI 48439-5325
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704162062
MI
Other
Enumeration date
04/06/2007
Last updated
07/08/2007
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