Damian Raynor
Community Health Worker in Saint Cloud, FL. Individual provider (NPI-1).
NPI number1982144184
StatusActive
Last updated in NPPESMar 7, 2017
Details
- NPI
- 1982144184
- Entity type
- Individual (NPI-1)
- Name
- Damian Raynor
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 7, 2017
- Last updated
- Mar 7, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 172V00000X | Community Health Worker | – | – | Yes |
Practice location
1610 Trout BlvdSaint Cloud, FL 34771-9720
Phone 814-449-5430
Mailing address
Po Box 192Westfield, NY 14787-0192
Phone 814-449-5430 · Fax 844-748-3999
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