Individual
ALICIA SPENCER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
88 HERON LN, BRONX, NY 10473-1153
(347) 241-7890
Mailing address
88 HERON LN, BRONX, NY 10473-1153
(347) 241-7890
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
332446
NY
Other
Enumeration date
11/25/2020
Last updated
11/25/2020
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