Individual
MRS. MELANIE GLASS RAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1700 REISTERSTOWN RD STE 102, PIKESVILLE, MD 21208-2938
(410) 469-5555
(410) 469-5484
Mailing address
1700 REISTERSTOWN RD STE 102, PIKESVILLE, MD 21208-2938
(410) 469-5555
(410) 469-5484
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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