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Dante Wray

NPI 1588381545 · on the registry since 2022 · sole proprietor

Practice

Address
65 Wren St
Hernando, MS 38632
Phone
(662) 806-7480
Organisation at this address
On Site Dialysis Llc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
163WD1100X
163WD1100X
Licence states on file
MS
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2022-10-20

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Mississippi