Individual
RAVEN ASHLEY BREWINGTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
155 EMILY AVE, ELMONT, NY 11003-4223
(516) 263-0138
Mailing address
155 EMILY AVE, ELMONT, NY 11003-4223
(516) 263-0138
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
02/18/2016
Last updated
02/18/2016
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