Individual
MRS. CAMILLE LOUIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14839 231ST ST, ROSEDALE, NY 11413-4244
(718) 740-0717
Mailing address
14839 231ST ST, ROSEDALE, NY 11413-4244
(718) 740-0717
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/15/2015
Last updated
10/15/2015
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