Individual
KECIA MCFADDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
101 W 147TH ST APT 16A, NEW YORK, NY 10039-4339
(917) 854-4721
Mailing address
101 W 147TH ST APT 16A, NEW YORK, NY 10039-4339
(917) 854-4721
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
10/28/2019
Last updated
10/28/2019
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