RAVEN GUY, LPN
Licensed Practical Nurse
Active
Individual
NPI: 1386907566
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | Yes | 304095 (NY) |
Frequently Asked Questions
NPI 1386907566 is the National Provider Identifier for RAVEN GUY, LPN, a Licensed Practical Nurse provider located in Mastic Beach, NY. This NPI was enumerated on June 21, 2012.
RAVEN GUY, LPN practices at 530 MASTIC RD, Mastic Beach, NY 11951.
Quick Facts
- NPI
- 1386907566
- Type
- Individual
- Enumerated
- Jun 21, 2012
- Last Updated
- Jun 21, 2012
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