Individual
MS. RENEA BRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
200 BROADWAY ST STE 230, NEW ORLEANS, LA 70118-3544
(504) 988-9000
(504) 988-9099
Mailing address
2133 S CARROLLTON AVE, NEW ORLEANS, LA 70118-2950
(504) 635-7455
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
20102458
LA
Other
Enumeration date
09/23/2018
Last updated
09/23/2018
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