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Individual

ALICIA MARIA KING

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
415 GLENWOOD AVE, DWN, ROCHESTER, NY 14613-2209
(585) 319-5058
Mailing address
415 GLENWOOD AVE DWN, ROCHESTER, NY 14613
(585) 319-5058

Taxonomy

Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary

Other

Enumeration date
05/21/2009
Last updated
05/21/2009
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