Individual
MRS. CHARLENE E RAYGADA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
64 CANNON DR, HOLBROOK, NY 11741-5219
(631) 456-0978
(631) 750-3107
Mailing address
64 CANNON DRIVE, HOLBROOK, NY 11741-5219
(631) 456-0978
(631) 750-3107
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
260367
NY
Other
Enumeration date
01/23/2009
Last updated
01/23/2009
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