Individual
MRS. CHANTEL RICKETTS-EDWARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
320 E 94TH ST, APARTMENT 2F, BROOKLYN, NY 11212-1853
(347) 633-3487
Mailing address
320 E 94TH ST, APARTMENT 2F, BROOKLYN, NY 11212-1853
(347) 633-3487
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
693682-1
NY
Other
Enumeration date
06/27/2015
Last updated
06/27/2015
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