Individual
MS. DEVA RAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
2054 TILLOTSON AVE, BRONX, NY 10475-1560
(718) 671-2100
Mailing address
120 DEBS PL APT 23C, BRONX, NY 10475-2528
(516) 724-4805
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
05/28/2014
Last updated
05/28/2014
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