Individual
RAYMOND CHARLES WINNEGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
10080 STALLINGS CREEK DR, SMITHFIELD, VA 23430-4418
(757) 371-8008
Mailing address
10080 STALLINGS CREEK DR, SMITHFIELD, VA 23430-4418
(757) 371-8008
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
—
—
343900000X
Non-emergency Medical Transport (VAN)
Primary
104791
VA
Other
Enumeration date
10/17/2019
Last updated
10/17/2019
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