Individual
RUCHEL VAIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
1314 AVENUE P, BROOKLYN, NY 11229-1106
(718) 514-1598
Mailing address
1314 AVENUE P, BROOKLYN, NY 11229-1106
(718) 514-1598
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
08/18/2014
Last updated
08/18/2014
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