Individual
CELIA BRAVO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
138 W LILAC RD, MILFORD, PA 18337-7361
(516) 655-5725
Mailing address
138 W LILAC RD, MILFORD, PA 18337-7361
(516) 655-5725
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
782732
NY
Other
Enumeration date
06/04/2024
Last updated
06/04/2024
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