Provider Demographics
NPI:1184375735
Name:RAY, RACHAEL LEE (PA-C)
Entity type:Individual
Prefix:
First Name:RACHAEL
Middle Name:LEE
Last Name:RAY
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Gender:F
Credentials:PA-C
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Mailing Address - Street 1:10605 BALTIC RD APT DOWN
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44102-1635
Mailing Address - Country:US
Mailing Address - Phone:330-208-7413
Mailing Address - Fax:
Practice Address - Street 1:630 E RIVER ST
Practice Address - Street 2:
Practice Address - City:ELYRIA
Practice Address - State:OH
Practice Address - Zip Code:44035-5902
Practice Address - Country:US
Practice Address - Phone:440-329-7500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-01-14
Last Update Date:2023-12-01
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant