Individual
BROOKE ELIZABETH RAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNM NP
Contact information
Practice address
4060 FAIRMOUNT AVE, SAN DIEGO, CA 92105-1608
(619) 280-4213
Mailing address
PO BOX 34280, SAN DIEGO, CA 92163-4280
(858) 699-2996
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
NP11068
CA
367A00000X
Advanced Practice Midwife
Primary
CNM1398
CA
Other
Enumeration date
11/21/2006
Last updated
01/24/2023
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