Provider Demographics
NPI:1295317592
Name:DUNLAP-RAY, CHIQUITA
Entity type:Individual
Prefix:MRS
First Name:CHIQUITA
Middle Name:
Last Name:DUNLAP-RAY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7408 CARSON AVE APT 10
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44104-6252
Mailing Address - Country:US
Mailing Address - Phone:216-387-9711
Mailing Address - Fax:
Practice Address - Street 1:7408 CARSON AVE APT 10
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44104-6252
Practice Address - Country:US
Practice Address - Phone:216-387-9711
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-04-26
Last Update Date:2021-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Single Specialty