Individual
CAPREE RICKETTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
33 DAVENPORT AVE, APT. 4E, NEW ROCHELLE, NY 10805-3448
(212) 719-9600
Mailing address
33 DAVENPORT AVE, APT. 4E, NEW ROCHELLE, NY 10805-3448
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
292006
NY
Other
Enumeration date
02/23/2011
Last updated
02/23/2011
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