NICHOLAS ERIC RAY

GERMANTOWN, TN
NPI1104415801
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy261QD1600X Clinic/Center, Developmental Disabilities
(Licence: TN  200004323)
Enumeration Date2021-01-16
Last Update Date2021-01-16
Business Address
NICHOLAS ERIC RAY MAT
1507 POPLAR ESTATES PKWY
GERMANTOWN, TN 38138-1840
Phone number: 901-828-1146
Mailing Address
NICHOLAS ERIC RAY MAT
1507 POPLAR ESTATES PKWY
GERMANTOWN, TN 38138-1840
Phone number: 901-828-1146
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