Individual
KEISHMAR SOBERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
703 KOSSUTH ST FL 3, BRIDGEPORT, CT 06608-1906
(201) 925-4092
Mailing address
703 KOSSUTH ST FL 3, BRIDGEPORT, CT 06608-1906
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
372600000X
Adult Companion
—
—
Other
Enumeration date
12/10/2021
Last updated
12/10/2021
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