Individual
KAIYA CLAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5216 CRAGGANMORE DR, MC LEANSVILLE, NC 27301-9524
(336) 402-6813
Mailing address
625 S VAN BUREN RD, EDEN, NC 27288-5319
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
29245
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
29245
LICENSE
NC
Enumeration date
12/24/2020
Last updated
12/24/2020
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