Individual
MYRA RAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
7240 MACKENZIE LN, PORTAGE, MI 49024-4414
(269) 321-9090
(269) 321-9098
Mailing address
7240 MACKENZIE LN, PORTAGE, MI 49024-4414
(269) 321-9090
(269) 321-9098
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
ARNP9223618
FL
Other
Enumeration date
08/25/2006
Last updated
07/08/2007
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