SHANELLE ELIZA LOCK

FOREST HILLS, NY
NPI1295076164
Former NameSHANELLE HOLT
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy174400000X Specialist
(Licence: NY  778861)
Enumeration Date2013-03-02
Last Update Date2013-03-02
Business Address
-- SHANELLE ELIZA LOCK
7000 AUSTIN ST
FOREST HILLS, NY 11375-1022
Phone number: 718-495-7802
Mailing Address
-- SHANELLE ELIZA LOCK
2330 BAYLIS AVE
ELMONT, NY 11003-2807
Phone number: 646-857-9221
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