Individual
SUZIE CARRASQUILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
99 REDWOOD DR, BRISTOL, CT 06010-2417
(860) 874-6001
Mailing address
89 DERBY DR, RIVERDALE, GA 30274-6717
(845) 480-9555
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
292495
NY
164W00000X
Licensed Practical Nurse
44017
CT
Other
Enumeration date
04/23/2010
Last updated
03/21/2024
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