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Individual
RAYNA A VAUSE
Active
Individual
RAYNA A VAUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
25MP00455800
NJ
363A00000X
Physician Assistant
Primary
PA9111444
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
11408300
—
FL
01
—
N2714
FL HF MEDICARE
FL
Enumeration date
11/18/2017
Last updated
09/07/2021
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