Individual
MR. DANTE M WRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
65 WREN ST, HERNANDO, MS 38632-4433
(662) 806-7480
Mailing address
65 WREN ST, HERNANDO, MS 38632-4433
(662) 806-7480
Taxonomy
Speciality
Code
Description
License number
State
163WD1100X
Peritoneal Dialysis Registered Nurse
Primary
18RR70
MS
Other
Enumeration date
10/20/2022
Last updated
10/20/2022
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