Individual
JILL RAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
131 COUNTY ROAD 3102, CENTER, TX 75935-5581
(936) 591-8995
Mailing address
211 REDBIRD LN, CENTER, TX 75935-9271
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
150339
TX
Other
Enumeration date
02/20/2018
Last updated
02/20/2018
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