Individual
GRACE VERAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CLC
Contact information
Practice address
415 STRATFORD RD APT 5C, BROOKLYN, NY 11218-5371
(347) 423-9505
Mailing address
415 STRATFORD RD APT 5C, BROOKLYN, NY 11218-5371
(347) 423-9505
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
ALPP-43765
NY
Other
Enumeration date
05/27/2014
Last updated
05/27/2014
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