Individual
DR. LICET CORNIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
865 E 4TH ST, BETHLEHEM, PA 18015-1935
(347) 527-8139
(610) 419-8088
Mailing address
660 WESTMINSTER ST, ALLENTOWN, PA 18109-2123
(484) 795-9007
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
03/20/2019
Last updated
03/26/2019
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