Wray, Amy Goodfellow
Wray, Amy Goodfellow is an individual health care provider with primary practice located at 5555 Grossmont Center Dr , La Mesa CA 91942-3019. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Wray, Amy Goodfellow can be contacted via phone (619) 644-3030.Contact Information
Primary practice address
5555 Grossmont Center Dr
La Mesa CA 91942-3019
Phone: (619) 644-3030
Fax: (619) 644-3638
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | PA17578 | California |
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA17578 | California |
Profile Details
NPI number | 1396762076 |
---|---|
LBN Legal business name | Wray, Amy Goodfellow |
Credentials | Physician's Assistant Certified (PA-C) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 17th, 2006 |
Last updated | Oct 14th, 2014 - about 11 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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