Individual
KRISTY ALIX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2 TWIN OAK AVE, MIDDLETOWN, NJ 07748-2110
(347) 998-2690
Mailing address
2 TWIN OAK AVE APT SUITE, MIDDLETOWN, NJ 07748-2110
(347) 998-2690
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
10/17/2022
Last updated
10/17/2022
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