MEDICARE: DR. JULIA EILEEN WRAY D.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111NN1001X	Nutrition Chiropractor	0104-000996	VA

General Provider Information

NPI Number	:	1306988878
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JULIA EILEEN WRAY D.C.

Provider Business Mailing Address
First Line	:	301 S COLUMBUS ST
Second Line	:
City	:	ALEXANDRIA
State	:	VA
Zip	:	22314-3603
Country	:	US
Telephone Number	:	703-836-2225
Fax Number	:	703-836-7172

Provider Business Practice Location Address
First Line	:	301 S COLUMBUS ST
Second Line	:
City	:	ALEXANDRIA
State	:	VA
Zip	:	22314-3603
Country	:	US
Telephone Number	:	703-836-2225
Fax Number	:	703-836-7172

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/13/2007
Last Update Date	:	07/09/2007

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