Individual
RAAY VERGAMINI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2410 GRAPE RD STE 6, MISHAWAKA, IN 46545-3015
(574) 217-0128
(574) 288-3447
Mailing address
10100 ELIDA RD, DELPHOS, OH 45833-9058
(419) 695-8010
(574) 288-3447
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/06/2024
Last updated
05/06/2024
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