Individual
RAYMOND WALLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CHW
Contact information
Practice address
43800 GARFIELD RD STE 200, CLINTON TOWNSHIP, MI 48038-1136
(833) 202-4673
Mailing address
43800 GARFIELD RD STE 200, CLINTON TOWNSHIP, MI 48038-1136
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
MI
Other
Enumeration date
05/01/2009
Last updated
02/11/2025
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