Individual
ALISHA MARIE MULLINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
6678 CTY RD 32, NORWICH, NY 13815-1381
(607) 335-1200
Mailing address
6678 CTY RD 32, NORWICH, NY 13815
(607) 335-1200
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
329223
NY
Other
Enumeration date
10/13/2021
Last updated
10/13/2021
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