Individual
JORDAN MICHEAL RAYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.T
Contact information
Practice address
631 S HAM LN, LODI, CA 95242-3532
(209) 368-7433
(209) 368-4219
Mailing address
631 S HAM LN, LODI, CA 95242-3532
(209) 368-7433
(209) 368-4219
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
PT41208
CA
Other
Enumeration date
04/04/2014
Last updated
04/04/2014
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