Individual
MONIQUE FOURE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
311 W 24TH ST APT 20A, NEW YORK, NY 10011-1578
(917) 498-6489
Mailing address
311 W 24TH ST APT 20A, NEW YORK, NY 10011-1578
(917) 498-6489
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
01/16/2021
Last updated
01/16/2021
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