Individual
DAMIAN RAYNOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1610 TROUT BLVD, SAINT CLOUD, FL 34771-9720
(814) 449-5430
Mailing address
PO BOX 192, WESTFIELD, NY 14787-0192
(814) 449-5430
(844) 748-3999
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
03/07/2017
Last updated
03/07/2017
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