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Doreva R Kinlaw, LICENSEDESTHETICIAN
Specialist in Bronx, New York
NPI 1407546237

Doreva R Kinlaw is a Specialist based in Bronx, NY. Doreva R Kinlaw practices in Bronx, NY and has the professional credentials of LICENSEDESTHETICIAN. The NPI Number for Doreva R Kinlaw is 1407546237 and holds a License No. AEE-23-00186 (New York).

The current practice location address for Doreva R Kinlaw is 712 E 236Th St Fl 2, Bronx, NY and can be reached out via phone at 347-928-2175.

Location: 712 E 236Th St Fl 2, Bronx, NY, 10466-1706
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1407546237
Provider Name
Doreva R Kinlaw
Credential
LICENSEDESTHETICIAN
Provider Entity Type
Individual
Gender
Female
Address
712 E 236Th St Fl 2, Bronx, NY, 10466-1706
Phone Number
347-928-2175
Fax Number
Provider Enumeration Date
05/15/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
712 E 236Th St Fl 2
City
Bronx
State
New York
Zip
10466-1706
Phone Number
347-928-2175
Fax Number
person
Provider Business Mailing Address Details
Address
712 E 236Th St Fl 2
City
Bronx
State
New York
Zip
10466-1706
Phone Number
347-928-2175
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
AEE-23-00186 (New York)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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