Most Relevant Information
Provider Data
| NPI Number: | 1003068123 |
| Provider Name: | COLETTE ROXANE FLETCHER |
| Entity Type: | Individual |
| Taxonomy Code: | 164W00000X |
| Specialty: | Licensed Practical Nurse |
| License Number: | 257686 |
Most Important Dates
| Enumeration Date: | 10/21/2008 |
| Last Updated: | 10/21/2008 |
Provider Practice Location
23218 MERRICK BLVD
LAURELTON
NY
114132115
Practice Location Phone/Fax
| Phone: | 7185283432 |
| Fax: |
Provider Mailing Location
23218 MERRICK BLVD
LAURELTON
NY
114132115
Provider Mailing Phone/Fax
| Phone: | 7185283432 |
| Fax: |