Individual
MR. CHARLES RAY BRYANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
612 NW 1ST ST, BOYNTON BEACH, FL 33435-3710
(561) 376-5482
Mailing address
612 NW 1ST ST, BOYNTON BEACH, FL 33435-3710
(561) 376-5482
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
10/08/2015
Last updated
10/08/2015
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