Individual
RAYMOND CLIFFORD CULLEN IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
22 BRAMHALL ST, PORTLAND, ME 04102-3175
(076) 622-5262
Mailing address
11 ADIN DR, SHREWSBURY, MA 01545-2001
(508) 688-0178
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
95114896
CA
367500000X
Certified Registered Nurse Anesthetist
Primary
RN2298610
MA
Other
Enumeration date
07/26/2021
Last updated
10/27/2024
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