RAVEN GONZALEZ

SHIRLEY, NY
NPI1083014294
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: NY  319600)
Enumeration Date2014-08-26
Last Update Date2014-08-26
Business Address
-- RAVEN GONZALEZ
87 NORTHERN BLVD
SHIRLEY, NY 11967-2320
Phone number: 631-357-6892
Mailing Address
-- RAVEN GONZALEZ
87 NORTHERN BLVD
SHIRLEY, NY 11967-2320
Phone number: 631-357-6892
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