Individual
RAQUEL NUGENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11 MEDICAL DR STE B, PORT JEFFERSON STATION, NY 11776-1589
(718) 554-1042
Mailing address
11 MEDICAL DR STE B, PORT JEFFERSON STATION, NY 11776-1589
(718) 554-1042
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
03/24/2018
Last updated
11/14/2018
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