Individual
ANDREA M WRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
#1 DR'S PARK, MT VERNON, IL 62864-6251
(618) 242-0462
Mailing address
305 E HANCOCK ST, STEELEVILLE, IL 62288-1511
(618) 965-9098
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
41298919
IL
Other
Enumeration date
04/20/2007
Last updated
07/08/2007
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