Individual
MRS. COLLEEN ANN ALFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
2339 STATE ROUTE 63 LOT 24, WAYLAND, NY 14572-9406
(585) 519-6611
Mailing address
2339 STATE ROUTE 63 LOT 24, WAYLAND, NY 14572-9406
(585) 519-6611
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
311155
NY
Other
Enumeration date
09/19/2012
Last updated
09/19/2012
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