Individual
LOVELINE ALEXIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1435 E 101ST ST, BROOKLYN, NY 11236-5507
(347) 243-7914
Mailing address
1435 E 101ST ST, BROOKLYN, NY 11236-5507
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
318367
NY
Other
Enumeration date
07/18/2014
Last updated
07/18/2014
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