Jeanna Raye

NPI #1447390117 in Winston Salem, North Carolina

Provider Information

NPI Number: 1447390117
Entity Type: Individual
Name: Jeanna Raye
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dental Hygienist
Enumeration Date: Feb 8, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 501 N CLEVELAND AVE
Address 2: STE 1
City: Winston Salem
State: North Carolina
ZIP Code: 27101-4366
Phone: (336) 631-2330

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dental Hygienist	124Q00000X	Primary

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