Individual
MARIE A LOUIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
19 KNIGHTS CIR, NEWBURGH, NY 12550-2421
(845) 566-1412
Mailing address
19 KNIGHTS CIR, NEWBURGH, NY 12550-2421
(845) 566-1412
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
Other
Enumeration date
08/18/2019
Last updated
08/18/2019
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