NPI 1366868325

Ray Edwards, LPN

Practitioner Chore Provider Tonawanda, NY

Practice location

Address: 303 Fairfield Ave, Tonawanda, NY 14223-2527
Phone: (716) 523-9997

Registered specialties

Chore Provider Primary

Nursing Service Related Providers Taxonomy 372500000X Licence 265188-1 (NY)

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Registry record

NPI: 1366868325
Entity type: Individual
Sex (as registered): Male
NPI issued: 13 Mar 2014
Record last updated: 13 Mar 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.