Individual
CATRICE REDDICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NA
Contact information
Practice address
21 JUDITH DR, CORAM, NY 11727-4024
(631) 525-0044
Mailing address
21 JUDITH DR, CORAM, NY 11727-4024
(631) 525-0044
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
342658630308E
NY
Other
Enumeration date
01/22/2015
Last updated
01/22/2015
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