Individual
MISS AUGUST RAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1955 LONG BEACH BLVD, LONG BEACH, CA 90806-5501
(562) 682-2179
Mailing address
1955 LONG BEACH BLVD, LONG BEACH, CA 90806-5501
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
—
—
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
CA
Other
Enumeration date
11/20/2023
Last updated
10/16/2025
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