Individual
MRS. ALYSSIA COLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
24 PINE KNOLL DR, ROCHESTER, NY 14624-3954
(585) 967-3504
Mailing address
24 PINE KNOLL DR, ROCHESTER, NY 14624-3954
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
334932-1
NY
Other
Enumeration date
05/07/2019
Last updated
05/07/2019
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