Individual
JACQUELINE MATTERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
17 SUNFLOWER RIDGE RD, SOUTH SETAUKET, NY 11720-3701
(631) 252-6930
Mailing address
17 SUNFLOWER RIDGE RD, SOUTH SETAUKET, NY 11720-3701
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
746336
NY
Other
Enumeration date
03/17/2023
Last updated
03/17/2023
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