Individual
MALICA SUTHERLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
214 HARRISON AVE, HARRISON, NY 10528-4302
(914) 689-1379
(888) 600-0158
Mailing address
PO BOX 844, HARRISON, NY 10528-0844
(914) 689-1379
(888) 600-0158
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
11/18/2021
Last updated
11/18/2021
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