Individual
CIERA RAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
201 KENDALL DR, LAMAR, CO 81052-3939
(719) 336-0261
Mailing address
PO BOX 802843, KANSAS CITY, MO 64180-2843
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2023016484
MO
Other
Enumeration date
10/26/2022
Last updated
10/02/2023
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