Individual
SUMMER JANETTE RAYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
202 E MCLOUGHLIN BLVD, VANCOUVER, WA 98663-3369
(360) 693-3030
Mailing address
202 E MCLOUGHLIN BLVD, VANCOUVER, WA 98663-3369
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA60098860
WA
Other
Enumeration date
10/18/2010
Last updated
10/18/2010
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