Individual
DELAINA RAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
122 GORDON COMMERCIAL DR STE D, LAGRANGE, GA 30240-5754
(706) 845-4054
Mailing address
122 GORDON COMMERCIAL DR STE D, LAGRANGE, GA 30240-5754
(706) 845-4054
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN096022
GA
Other
Enumeration date
03/23/2021
Last updated
03/23/2021
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