Individual
KRISTIAN PRESCIA RAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
321 N THEARD ST, COVINGTON, LA 70433-2835
(985) 507-5503
Mailing address
829 KOSTMAYER AVE, SLIDELL, LA 70458-4921
(985) 649-1858
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
RN148521
LA
Other
Enumeration date
05/16/2022
Last updated
05/16/2022
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