Shantell S Wray, PA

NPI #1609966993 in Groveland, Florida

Provider Information

NPI Number: 1609966993
Entity Type: Individual
Name: Shantell S Wray, PA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: Oct 15, 2006
Last Updated: Oct 3, 2022

Practice Location

Address: 1296 W BROAD ST
City: Groveland
State: Florida
ZIP Code: 34736-2012
Phone: (407) 905-8827

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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