Individual
CHARITA RAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
470 BACON RD, PAINESVILLE, OH 44077-4769
(440) 743-3006
Mailing address
7007 POWERS BLVD, PARMA, OH 44129-5437
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
34.013507
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/21/2016
Last updated
12/30/2020
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