Basic Information
| Provider Information | |||||||||
| NPI: | 1043640394 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | NEWRAY | ||||||||
| FirstName: | BARBARA | ||||||||
| MiddleName: | |||||||||
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| Credential: | LVN | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1165 CALLE EMPARRADO | ||||||||
| Address2: | |||||||||
| City: | SAN MARCOS | ||||||||
| State: | CA | ||||||||
| PostalCode: | 920697328 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7605005579 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 411 OAK ST | ||||||||
| Address2: | |||||||||
| City: | CINCINNATI | ||||||||
| State: | OH | ||||||||
| PostalCode: | 452192504 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8008525678 | ||||||||
| FaxNumber: | 5130844909 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 11/24/2013 | ||||||||
| LastUpdateDate: | 11/24/2013 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 164X00000X | VN215476 | CA | Y | Nursing Service Providers | Licensed Vocational Nurse |
No ID Information.