Individual
CARA LOREAL MARUCA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9109 165TH AVE, HOWARD BEACH, NY 11414-3738
(917) 217-6980
Mailing address
9109 165TH AVE, HOWARD BEACH, NY 11414-3738
(917) 217-6980
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
04/16/2013
Last updated
04/16/2013
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