Individual
CHARAI N RAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 E LEHIGH AVE, PHILADELPHIA, PA 19125-1012
(215) 707-0195
Mailing address
3813 MARSHALL RD, DREXEL HILL, PA 19026-3504
(484) 461-2839
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
SP018481
PA
Other
Enumeration date
02/01/2018
Last updated
04/04/2018
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