Individual
CLARISSA NICOLE HOUSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICENSED PRACTICAL N
Contact information
Practice address
18 POST RD, SLATE HILL, NY 10973-3909
(914) 488-7919
Mailing address
15 SUFFERN PL, SUFFERN, NY 10901
(845) 357-4500
(845) 357-5039
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
335631
NY
Other
Enumeration date
10/08/2021
Last updated
04/12/2024
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