Rachel I. Raven Family Health Nurse Practitioner, PLLC
Director
							Rachel I Raven, N.P.
			Expiration Date
							Phone Number
							(315) 323-7360
			UID (Facility ID - Site ID)
							D444-0000
			Site ID
							0000
			City
							Gouverneur
			CLIA Number
							33D2215865
			Street Address
							209 E Main St
			State
							NY
			Zip Code
							13642
			County
							St. Lawrence
			Country
							United States
			Fax Number
							(315) 216-3545
			Primary Contact
							Rachel Raven
			Certificate Type
							WAIVER
			Tests
				Breath Alcohol
							Drugs of Abuse
							Glucose
							Urinalysis
					Facility ID
							D444
			