Individual
KYARA ISIS RIQUELME
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8345 116TH ST APT 2F, RICHMOND HILL, NY 11418-3454
(646) 620-5203
Mailing address
8345 116TH ST APT 2F, RICHMOND HILL, NY 11418-3454
(646) 620-5203
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/28/2022
Last updated
07/28/2022
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