Individual
MRS. ALICIA ANN EDDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
30882 SCHOOL STREET, FELTS MILLS, NY 13638-0000
(315) 767-1860
Mailing address
PO BOX 72, FELTS MILLS, NY 13638-0000
(315) 767-1860
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
1973291
NY
Other
Enumeration date
09/09/2008
Last updated
09/09/2008
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