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NPI Code Detail

MEDICARE: REBA EUNICE MCCRAY

MEDICARE: REBA EUNICE MCCRAY
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
1175T00000XPeer Specialist259OH

General Provider Information

NPI Number : 1467942110
Entity Type Code : Individual
Provider Name (Legal Business Name) : REBA EUNICE MCCRAY
Provider Business Mailing Address
First Line : 834 GRANT ST
Second Line :
City : AKRON
State : OH
Zip : 44311-2136
Country : US
Telephone Number : 330-253-8803
Fax Number : 330-253-5992
Provider Business Practice Location Address
First Line : 834 GRANT ST
Second Line :
City : AKRON
State : OH
Zip : 44311-2136
Country : US
Telephone Number : 330-253-8803
Fax Number : 330-253-5992
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/17/2018
Last Update Date : 05/17/2018

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Directions to “ REBA EUNICE MCCRAY ” Practice Location

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