Individual
LORETTA KEITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2237 LINDEN BLVD, BROOKLYN, NY 11207-7527
(718) 649-7000
Mailing address
249 THOMAS BOYLAND, 22K, BROOKLYN, NY 11233
(718) 346-9329
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
341444250300E
NY
Other
Enumeration date
01/11/2022
Last updated
01/11/2022
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