Individual
LOUIS JACQUES RAYMOND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
2270 S RIDGEVIEW DR STE 204, YUMA, AZ 85364-8880
(646) 255-3974
Mailing address
1820 E BELL DE MAR DR APT 137, TEMPE, AZ 85283-5738
(646) 255-3974
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10128
AZ
Other
Enumeration date
01/24/2024
Last updated
01/24/2024
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