ADAM CLINTON RAY

GROTON, CT
NPI1912299157
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date2011-05-06
Last Update Date2011-05-06
Business Address
Mr. ADAM CLINTON RAY IDC
163 LEDGEWOOD RD APT 405
GROTON, CT 06340-6611
Phone number: 903-517-6146
Mailing Address
Mr. ADAM CLINTON RAY IDC
163 LEDGEWOOD RD APT 405
GROTON, CT 06340-6611
Phone number: 903-517-6146