ETHAN MATTHEW RAY

JOHNSON CITY, TN
NPI1295693117
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2026-01-10
Last Update Date2026-01-10
Business Address
ETHAN MATTHEW RAY
400 N STATE OF FRANKLIN RD
JOHNSON CITY, TN 37604-6035
Phone number: 423-431-6111
Mailing Address
ETHAN MATTHEW RAY
74 FINNEY RD
HONAKER, VA 24260-6342
Phone number: