Individual
MS. ALYSSA ELLEN CASE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
717 MEDINA ST, ELMIRA, NY 14904-2030
(607) 794-9470
Mailing address
717 MEDINA ST, ELMIRA, NY 14904-2030
(607) 794-9470
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
310607
NY
Other
Enumeration date
02/10/2021
Last updated
02/10/2021
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