Individual provider · Type 1 NPI
Carla Joa Raymo
VA Clinic/Center · Canal Winchester, OH
NPI number
1407264666
Active
Practice location
5609 Baldoyle Way
Canal Winchester, OH 43110-7946
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| VA Clinic/Center Primary | 261QV0200X | None listed |
VA Clinic/Center: Definition to come...
About NPI 1407264666
Carla Joa Raymo's National Provider Identifier is 1407264666, issued on Jul 31, 2014. The primary taxonomy on file is VA Clinic/Center (261QV0200X), and the practice location is in Canal Winchester, OH. The record was last updated on Jul 31, 2014.