Provider Demographics
NPI:1699557710
Name:WRAY, TRAYCE L
Entity type:Individual
Prefix:MRS
First Name:TRAYCE
Middle Name:L
Last Name:WRAY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12036 VALLEYWOOD DR
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20902-2237
Mailing Address - Country:US
Mailing Address - Phone:240-779-7683
Mailing Address - Fax:
Practice Address - Street 1:2306 HARTFORD ST SE APT 201
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20020-7965
Practice Address - Country:US
Practice Address - Phone:240-779-7683
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-10-16
Last Update Date:2023-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant