Provider Demographics
NPI:1083636245
Name:RAYMOND, VICTORIA M (MS)
Entity type:Individual
Prefix:
First Name:VICTORIA
Middle Name:M
Last Name:RAYMOND
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 638
Mailing Address - Street 2:1150 W. MEDICAL CENTER DRIVE
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48106-0638
Mailing Address - Country:US
Mailing Address - Phone:734-615-5404
Mailing Address - Fax:734-762-7673
Practice Address - Street 1:1150 W. MEDICAL CENTER DRIVE
Practice Address - Street 2:
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48106-0638
Practice Address - Country:US
Practice Address - Phone:734-615-5404
Practice Address - Fax:734-762-7673
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS