Individual
KATTIE RAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3292 COUNTY ROAD 220, MIDDLEBURG, FL 32068-4357
(904) 291-5561
(904) 291-5575
Mailing address
1726 KINGSLEY AVE STE 2, ORANGE PARK, FL 32073-4411
(904) 278-5644
(904) 278-5659
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN 9404675
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
940675
—
FL
Enumeration date
09/02/2015
Last updated
09/02/2015
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