Individual
DEETTA J RAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2900 LAMB CIR, SUITE 301, CHRISTIANSBURG, VA 24073-6344
(540) 731-7600
Mailing address
2900 LAMB CIR, SUITE 301, CHRISTIANSBURG, VA 24073-6344
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
0024-165280
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010260256
—
VA
Enumeration date
09/20/2006
Last updated
12/07/2020
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