Doctor Name: | MR. RAYMUNDO CADAG TRINANES |
NPI Number: | 1487727095 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | C. A. P. M. H. N. P. |
License Number: | R815428 |
Business Practice Address: | 3550 Highway 468 W Pearl, MS - 392085529 |
Business Phone Number: | 6013518000 |
Business Fax Number: | 6013518301 |
Mailing Address: | Po Box 157a, WHITFIELD |
State: | MS |
Postal Code: | 391930157 |
Phone Number: | 6013518000 |
Fax Number: | 6013518301 |
NPI Enumeration Date: | 11/15/2006 |
NPI Last Update Date: | 12/02/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LP0808X |
License Number: | R815428 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MS |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Psych/Mental Health |
Taxonomy Definition: |