Individual
NICKI NICOLE BRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
955 BRAY RD, BEECH BLUFF, TN 38313-1845
(731) 608-3403
Mailing address
955 BRAY RD, BEECH BLUFF, TN 38313-1845
(731) 608-3403
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2635
TN
Other
Enumeration date
08/14/2014
Last updated
08/14/2014
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