Individual
CARRIE DRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2207 BRAMBLE WAY, ANDERSON, IN 46011-2834
(765) 620-7728
Mailing address
2207 BRAMBLE WAY, ANDERSON, IN 46011-2834
Taxonomy
Speciality
Code
Description
License number
State
246ZS0410X
Surgical Technologist
Primary
141507
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
141507
NBSTSA
IN
Enumeration date
07/17/2014
Last updated
07/17/2014
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