Provider Demographics
NPI:1275294027
Name:VIJOY, RAJI
Entity Type:Individual
Prefix:
First Name:RAJI
Middle Name:
Last Name:VIJOY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5417 LAKEMONT BLVD SE APT 513
Mailing Address - Street 2:
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98006-5577
Mailing Address - Country:US
Mailing Address - Phone:630-880-2641
Mailing Address - Fax:
Practice Address - Street 1:5417 LAKEMONT BLVD SE APT 513
Practice Address - Street 2:
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98006-5577
Practice Address - Country:US
Practice Address - Phone:630-880-2641
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-01-04
Last Update Date:2022-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARN61012878163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse