TRACY ALEXIS JADE LARRY

NEW YORK, NY
NPI1205276813
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2013-06-27
Last Update Date2013-06-27
Business Address
Miss TRACY ALEXIS JADE LARRY
34 W 139TH ST
NEW YORK, NY 10037-1508
Phone number: 212-690-7234
Mailing Address
Miss TRACY ALEXIS JADE LARRY
500 W 148TH ST #5C
NEW YORK, NY 10031-4107
Phone number: 917-602-0100