Individual
MRS. JILLIAN MARIE RAGONESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
208 ROANOKE AVE, RIVERHEAD, NY 11901-2706
(631) 998-1003
Mailing address
208 ROANOKE AVE, RIVERHEAD, NY 11901-2706
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
NY
Other
Enumeration date
01/10/2019
Last updated
01/10/2019
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