Raven S Horne Valid NPI

Individual provider · Licensed Practical Nurse · Enfield, CT

NPI

1497323893

Type

Individual (Type 1)

Primary specialty

Licensed Practical Nurse

Specialty group

Nursing Service Providers

Taxonomy code

164W00000X

License number

040861 (CT)

Sex

Female

Sole proprietor

No

Enumerated

2021-06-14

Last updated

2021-06-14