Individual
SHANTEL DOMINIQUE RAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
9323 BERKSHIRE CIR, CHATTANOOGA, TN 37421-4446
(423) 314-9582
Mailing address
9323 BERKSHIRE CIR, CHATTANOOGA, TN 37421-4446
(423) 314-9582
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
243630
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
243630
REGISTERED NURSE
TN
Enumeration date
08/28/2013
Last updated
01/26/2022
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