Organization
CLEOS GLAM CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERICA LAWLESS (CEO)
(646) 234-2689
Entity
Organization
Contact information
Practice address
310 E 103RD ST, NEW YORK, NY 10029-5604
(646) 234-2689
Mailing address
1487 TELLER AVE APT 4G, BRONX, NY 10457-8925
Taxonomy
Speciality
Code
Description
License number
State
405300000X
Prevention Professional
Primary
—
—
Other
Enumeration date
01/07/2022
Last updated
01/07/2022
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