Individual
JACE P. CORRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DNAP
Contact information
Practice address
3301 BROADWAY ST, QUINCY, IL 62301-3713
(217) 222-6550
Mailing address
1025 MAINE ST, QUINCY, IL 62301-4096
(217) 222-6550
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
209025720
IL
Other
Enumeration date
08/04/2022
Last updated
08/15/2022
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