RAVIN JAYATISSA

LUMBERTON, NC
NPI1235703471
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2021-05-13
Last Update Date2021-05-13
Business Address
RAVIN JAYATISSA MD
730 OAKRIDGE BLVD
LUMBERTON, NC 28358-2324
Phone number: 910-738-2662
Mailing Address
RAVIN JAYATISSA MD
300 W 27TH ST
LUMBERTON, NC 28358-3075
Phone number: 910-738-2662
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