Individual
CARREN CAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
123 VISTA PL, MOUNT VERNON, NY 10550-2711
(914) 699-5398
Mailing address
123 VISTA PL, MOUNT VERNON, NY 10550-2711
(914) 699-5398
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
324573
NY
Other
Enumeration date
12/29/2015
Last updated
12/29/2015
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