Individual
RITA ESTHER JEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
42 09 28 STREET, CN25, LIC, NY 11101-4130
(917) 807-0386
(347) 396-4565
Mailing address
42 09 28 STREET, CN25, LIC, NY 11101-4130
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
458217-1
NY
Other
Enumeration date
11/13/2013
Last updated
11/13/2013
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