Ellen Raymond

NPI #1225699275 in Brighton, Massachusetts

Provider Information

NPI Number: 1225699275
Entity Type: Individual
Name: Ellen Raymond
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physician Assistant
Enumeration Date: Jun 20, 2019
Last Updated: Jun 20, 2019

Practice Location

Address: 92 WALLINGFORD RD APT 2
City: Brighton
State: Massachusetts
ZIP Code: 02135-4706
Phone: (952) 693-5405

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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