Individual
MRS. COLLETTE SEYMOAN RAGIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
171 TOMPKINS AVE, 3A, BROOKLYN, NY 11206-6882
(347) 495-3261
Mailing address
171 TOMPKINS AVE, 3A, BROOKLYN, NY 11206-6882
(347) 495-3261
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
298564
NY
Other
Enumeration date
11/23/2009
Last updated
11/23/2009
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