Individual
JEANNA RAYE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
501 N CLEVELAND AVE, STE 1, WINSTON SALEM, NC 27101-4366
(336) 631-2330
Mailing address
325 PINE NEEDLES DR, WINSTON SALEM, NC 27104-3535
(336) 777-3043
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
4035
NC
Other
Enumeration date
02/08/2007
Last updated
07/08/2007
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