Individual
ABBY MICHELLE TRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4801 VETERANS DR, SAINT CLOUD, MN 56303-2015
(320) 406-7554
Mailing address
2217 W SAINT GERMAIN ST, SAINT CLOUD, MN 56301-3981
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
741013
MN
Other
Enumeration date
10/21/2024
Last updated
10/21/2024
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