Individual
BRITTANY ANN RACHUTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11 SPIRAL RD, HOLTSVILLE, NY 11742
(631) 972-4810
Mailing address
11 SPIRAL RD, HOLTSVILLE, NY 11742
(631) 972-4810
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
338037
NY
Other
Enumeration date
03/16/2020
Last updated
03/16/2020
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