Individual
REBECCA RAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPM
Contact information
Practice address
815 STOCKTON ST, JACKSONVILLE, FL 32204-3521
(904) 990-3619
Mailing address
332 E 6TH ST, JACKSONVILLE, FL 32206-4614
(904) 570-5792
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
MW398
FL
Other
Enumeration date
01/14/2021
Last updated
01/14/2021
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