Individual
MALKIA RAYNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
4406 OLD WAKE FOREST RD, SUITE 201, RALEIGH, NC 27609-2527
(919) 790-7663
Mailing address
1970 OLD RALEIGH RD, CLINTON, NC 28328-5891
(910) 379-4770
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
234038
NC
164W00000X
Licensed Practical Nurse
64167
NC
Other
Enumeration date
01/05/2010
Last updated
01/05/2010
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