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Individual

RAYMOND MAZIVEYI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
916 OAKCREST DR, WYLIE, TX 75098-6977
(469) 366-7031
(214) 343-8554
Mailing address
9550 FOREST LN STE 226, DALLAS, TX 75243-5905
(214) 377-9945
(214) 343-8554

Taxonomy

Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
3747P1801X
Personal Care Attendant
Primary
017169
TX

Other

Enumeration date
04/07/2015
Last updated
01/28/2019
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