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Individual

LELAND R RAYMOND

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3417 VALLE VERDE, NAPA, CA 94558-6417
(707) 251-3552
(707) 252-1087
Mailing address
3417 VALLE VERDE DR, NAPA, CA 94558-2414
(707) 252-4955
(707) 252-0525

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
G9919
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000G99190
CA
Enumeration date
03/07/2007
Last updated
07/24/2015
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