Individual
DR. JACQUELINE R RAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
19494
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0111707000
—
WV
05
—
2134747
—
OH
05
—
64942964
—
KY
Enumeration date
04/17/2006
Last updated
12/01/2021
Update your record
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