Individual
MRS. NICOLA JAYNE WRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PCD, CLC
Contact information
Practice address
1200 FIRST ST, APT 425, ALEXANDRIA, VA 22314-1676
(703) 606-6033
Mailing address
1200 FIRST ST, APT 425, ALEXANDRIA, VA 22314-1676
(703) 606-6033
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
207105
PA
374J00000X
Doula
Primary
—
—
Other
Enumeration date
11/18/2015
Last updated
11/18/2015
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