Individual
LORI ELLEN BRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8520 US HIGHWAY 1 APT B12, MICCO, FL 32976-2616
(772) 538-2857
Mailing address
PO BOX 622, ROSELAND, FL 32957-0622
(772) 538-2857
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
—
Other
Enumeration date
11/15/2019
Last updated
11/15/2019
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