ETHAN KRELL

BRONX, NY
NPI1407316094
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2019-03-21
Last Update Date2019-03-21
Business Address
ETHAN KRELL
111 E 210TH ST
BRONX, NY 10467-2401
Phone number: 347-577-4410
Mailing Address
ETHAN KRELL
111 E 210TH ST
BRONX, NY 10467-2401
Phone number: 347-577-4410