Provider Demographics
NPI:1356168504
Name:VIRUET, RAYJEAN
Entity type:Individual
Prefix:
First Name:RAYJEAN
Middle Name:
Last Name:VIRUET
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 1:906 ALGER ST
Mailing Address - Street 2:
Mailing Address - City:FREMONT
Mailing Address - State:OH
Mailing Address - Zip Code:43420-2029
Mailing Address - Country:US
Mailing Address - Phone:419-559-1701
Mailing Address - Fax:
Practice Address - Street 1:906 ALGER ST
Practice Address - Street 2:
Practice Address - City:FREMONT
Practice Address - State:OH
Practice Address - Zip Code:43420-2029
Practice Address - Country:US
Practice Address - Phone:419-559-1701
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-09-20
Last Update Date:2024-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide