Individual
MRS. MONA AMANDA RAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
801 JONESTOWN RD, BOSTIC, NC 28018-7613
(828) 245-9956
Mailing address
801 JONESTOWN RD, BOSTIC, NC 28018-7613
(828) 245-9956
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
140420
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
140420
NC BOARD OF NURSING
NC
Enumeration date
04/14/2016
Last updated
04/14/2016
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