Individual
MS. ALICIA MARIE WARREN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
734 STUPKE RD., CORTLAND, NY 13045
(607) 753-6670
Mailing address
734 STUPKE RD., CORTLAND, NY 13045
(607) 753-6670
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
29100
NY
Other
Enumeration date
02/22/2008
Last updated
02/22/2008
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