Individual
MR. RAYMOND GLENN MILLS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Contact information
Practice address
620 JOHN PAUL JONES CIR, PORTSMOUTH, VA 23708-2111
(757) 953-7641
(757) 953-6081
Mailing address
4032 DEVON DR, CHESAPEAKE, VA 23321-1862
(757) 465-5528
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
02/02/2006
Last updated
07/08/2007
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