Individual
MRS. LACRETIA DENISE RAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICENSED MASSAGE THE
Contact information
Practice address
310 W COPENHAVER DR, CLAYTON, NC 27527-9549
(910) 385-1157
Mailing address
310 W COPENHAVER DR, CLAYTON, NC 27527-9549
(910) 385-1157
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
12505
NC
Other
Enumeration date
10/20/2020
Last updated
10/20/2020
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