Individual
MAITA BELTRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7704 KNEELAND AVE, ELMHURST, NY 11373-4102
(929) 296-0363
(929) 296-0363
Mailing address
7704 KNEELAND AVE, ELMHURST, NY 11373-4102
(929) 296-0363
(929) 296-0363
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
05/08/2018
Last updated
05/08/2018
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