Individual
CARLA WRIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7925 WINCHESTER BLVD, QUEENS VILLAGE, NY 11427-2128
(718) 264-4408
Mailing address
PO BOX 656745, FRESH MEADOWS, NY 11365-6745
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
495410
NY
Other
Enumeration date
12/09/2018
Last updated
12/09/2018
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