Individual
MR. JARRED RHATIGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
500 PECONIC ST APT 291B, RONKONKOMA, NY 11779-7163
(646) 714-8481
Mailing address
500 PECONIC ST APT 291B, RONKONKOMA, NY 11779-7163
(646) 714-8481
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
318722-1
NY
Other
Enumeration date
03/07/2017
Last updated
03/07/2017
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