Raven Guy, LPN
NPI #1386907566 in Mastic Beach, New York
Provider Information
- NPI Number
- 1386907566
- Entity Type
- Individual
- Name
- Raven Guy, LPN
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Licensed Practical Nurse
- Credential
- LPN
- Enumeration Date
- Jun 21, 2012
- Last Updated
- Jun 21, 2012
Practice Location
- Address
- 530 MASTIC RD
- City
- Mastic Beach
- State
- New York
- ZIP Code
- 11951-1012
- Phone
- (631) 433-0598
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Practical Nurse |
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