Individual
DEBRA RAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2 PENSHORE CT, IRMO, SC 29063-9338
(803) 360-7565
Mailing address
2 PENSHORE CT, IRMO, SC 29063-9338
(803) 360-7565
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
R39572
SC
Other
Enumeration date
04/28/2014
Last updated
04/28/2014
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