SearchMichigan227900000X

Ban Elrayes

NPI 1164100632 · on the registry since 2023

Practice

Address
6020 Mcgillicuddy Ln
Portage, MI 49024
Phone
(269) 501-8857

Registry record

Primary taxonomy
227900000X
227900000X
Licence states on file
MI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2023-07-06

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan