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Raymond Dewayne Green

Technician, Personal Care Attendant in Julian, WV. Individual provider (NPI-1).

NPI number1043026537
StatusActive
Last updated in NPPESDec 9, 2024

Details

NPI
1043026537
Entity type
Individual (NPI-1)
Name
Raymond Dewayne Green
Sex
Male
Sole proprietor
No
Enumeration date
Dec 9, 2024
Certification date
Dec 9, 2024
Last updated
Dec 9, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
3747P1801X Technician, Personal Care Attendant––Yes

Practice location

1510 Little Horse Creek Rd
Julian, WV 25529-9621

Phone 304-542-2744

Mailing address

1510 Little Horse Creek Rd
Julian, WV 25529-9621

Phone 304-542-2744

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Other Personal Care Attendant providers in Julian, WV

All 7 Personal Care Attendant providers in Julian · All 12 providers in Julian

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