Individual
CARLEE MIKA RAYMOND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
8700 SUDLEY RD, MANASSAS, VA 20110-4418
(703) 396-5292
Mailing address
PO BOX 9007, CHARLOTTESVILLE, VA 22906-9007
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
VA
363AS0400X
Surgical Physician Assistant
—
VA
Other
Enumeration date
12/21/2022
Last updated
04/10/2023
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