Provider Demographics
NPI:1295971315
Name:BRAY, KRISTA AVRIL (AET/PAS II)
Entity type:Individual
Prefix:MS
First Name:KRISTA
Middle Name:AVRIL
Last Name:BRAY
Suffix:
Gender:F
Credentials:AET/PAS II
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3150 18TH ST
Mailing Address - Street 2:SUITE 465, MAILBOX 311
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94110-2074
Mailing Address - Country:US
Mailing Address - Phone:415-202-3229
Mailing Address - Fax:
Practice Address - Street 1:3150 18TH ST
Practice Address - Street 2:SUITE 465, MAILBOX 311
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94110-2074
Practice Address - Country:US
Practice Address - Phone:415-202-3229
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-18
Last Update Date:2008-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist