Individual
MS. ALEXIS DANIELLE BURGESS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
290 MEADOW FARM, NORTH CHILI, NORTH CHILI, NY 14514-1319
(585) 358-8155
Mailing address
290 MEADOW FARM NORTH, ROCHESTER, NY 14514-1319
(585) 358-8155
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
322214
NY
Other
Enumeration date
11/21/2016
Last updated
11/21/2016
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