Individual
ALENE RAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
430 WALTON FERRY RD APT 104, HENDERSONVLLE, TN 37075-4166
(615) 207-2953
(615) 827-0115
Mailing address
430 WALTON FERRY RD APT 104, HENDERSONVLLE, TN 37075-4166
(615) 207-2953
(615) 827-0115
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
118352982
DUNS
—
Enumeration date
10/18/2021
Last updated
10/18/2021
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