Individual
MISS RAQUEL MAARI SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
803 GRANT AVE, LAKE KATRINE, NY 12449-5352
(845) 331-3970
Mailing address
38 BARNARD AVE, POUGHKEEPSIE, NY 12601-5023
(570) 262-2189
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
676066
NY
Other
Enumeration date
12/18/2013
Last updated
12/18/2013
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