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Individual

MS. MARVA J. MYERS-RAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
L.P.N.

Contact information

Practice address
4510 N 37TH AVE, PHOENIX, AZ 85019-3206
(602) 336-2990
Mailing address
8721 N 69TH AVE, #160-1, PEORIA, AZ 85345-8400
(602) 841-7445
(602) 841-6892

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP033065
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
572728
AZ
Enumeration date
01/31/2007
Last updated
07/08/2007
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