Individual
JUSTINE MARIE RAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
102 DAVIS PL, COLLINSVILLE, IL 62234-7108
(217) 473-7145
Mailing address
102 DAVIS PL, COLLINSVILLE, IL 62234-7108
(217) 473-7145
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
041535698
IL
Other
Enumeration date
02/05/2025
Last updated
02/05/2025
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