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Organization
12 STEPS WELLNESS LIVING
Active
Organization
12 STEPS WELLNESS LIVING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMESHA CLARKE NP (NP)
(347) 210-5064
Entity
Organization
Contact information
Practice address
4522 CLARENDON RD, BROOKLYN, NY 11203-5218
(347) 210-5064
Mailing address
4522 CLARENDON RD, BROOKLYN, NY 11203-5218
(347) 210-5064
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
—
NULL
363LA2200X
Adult Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
04/25/2021
Last updated
09/11/2025
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