GRACE LATHAM

REGO PARK, NY
NPI1114372885
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy174400000X Specialist
(Licence: NY  097503-1)
Enumeration Date2016-04-29
Last Update Date2016-04-29
Business Address
-- GRACE LATHAM
9777 QUEENS BLVD
REGO PARK, NY 11374-3335
Phone number: 718-830-9274
Mailing Address
-- GRACE LATHAM
9777 QUEENS BLVD
REGO PARK, NY 11374-3335
Phone number: 718-830-9274
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