JUSTIN RAY

STATESBORO, GA
NPI1255590402
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: GA  LPN071268)
Enumeration Date2008-06-03
Last Update Date2008-06-03
Business Address
-- JUSTIN RAY
2014 PINEMOUNT BLVD
STATESBORO, GA 30461-2358
Phone number: 912-764-2995
Mailing Address
-- JUSTIN RAY
2014 PINEMOUNT BLVD
STATESBORO, GA 30461-2358
Phone number: 912-764-2995