Individual
ANISSA RAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1258 ORTIZ DR SE # 100, ALBUQUERQUE, NM 87108-5592
(505) 463-1970
Mailing address
6704 NUEVA PIEDRA ST NW, ALBUQUERQUE, NM 87120-3618
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/03/2021
Last updated
02/03/2021
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