Individual
CHELSEA RAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
706 SOUTH GREATHOUSE DRIVE, ATOKA, OK 74525
(580) 920-5568
(580) 889-4050
Mailing address
PO BOX 720, ATOKA, OK 74525-0720
(580) 889-3424
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
73-1311206
—
OK
Enumeration date
06/19/2015
Last updated
06/19/2015
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