Individual
PETER RAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4101 WOOLWORTH AVE, OMAHA, NE 68105-1850
(402) 346-8800
Mailing address
12302 S 218TH AVE, GRETNA, NE 68028-5978
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
86309
NE
Other
Enumeration date
03/20/2025
Last updated
03/20/2025
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