Individual
MISS CARONNIE A WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
1068 RALPH AVE, BROOKLYN, NY 11236-1212
(347) 210-3182
Mailing address
1068 RALPH AVE, BROOKLYN, NY 11236-1212
(347) 210-3182
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
647996
NY
Other
Enumeration date
11/15/2011
Last updated
11/15/2011
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