Individual
MRS. MELANIE GLASS RAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
PA9105878
FL
363AS0400X
Surgical Physician Assistant
Primary
C06807
MD
363AS0400X
Surgical Physician Assistant
PA9105878
FL
Other
Enumeration date
02/08/2011
Last updated
10/04/2024
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