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Derrick Ray

NPI 1952131534 · on the registry since 2024 · sole proprietor

Practice

Address
3617 Oakman Blvd Apt 104
Detroit, MI 48204
Phone
(313) 468-0737

Registry record

Primary taxonomy
342000000X
342000000X
Licence states on file
MI
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2024-08-07

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