Individual
MS. CLAUDETTE PATRICIA BRACKETT-LITTLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
604 VILLAGE DR APT A, RIDGE, NY 11961-8260
(631) 782-5037
Mailing address
604 VILLAGE DR APT A, RIDGE, NY 11961-8260
(631) 782-5037
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
323550
NY
Other
Enumeration date
09/17/2015
Last updated
09/17/2015
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