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Individual

MS. NICKETTA MELLISA CAREW

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RDH

Contact information

Practice address
1049 RUTLAND RD, BROOKLYN, NY 11212-2942
(718) 709-3903
Mailing address
1085 E 40TH ST, BROOKLYN, NY 11210-4423
(917) 754-0154

Taxonomy

Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
031891
NY

Other

Enumeration date
04/21/2022
Last updated
04/21/2022
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