Individual
KELLI KAY RAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
201 D ST STE R, MARYSVILLE, CA 95901-5952
(530) 441-2400
Mailing address
201 D ST STE R, MARYSVILLE, CA 95901-5952
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
MPSS-CVSGXP
CA
Other
Enumeration date
07/23/2025
Last updated
11/04/2025
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