Individual
KOVETTE THORPE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
22 MONTGOMERY ST APT 10D, POUGHKEEPSIE, NY 12601-4021
(845) 763-8504
Mailing address
PO BOX 223, POUGHKEEPSIE, NY 12602-0223
(845) 763-8504
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
616022083
DRIVERS LICENSE
NY
Enumeration date
03/08/2020
Last updated
03/08/2020
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