Individual
MISS ALICIA A FREEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
49 MAIN ST, WYOMING, NY 14591-9709
(585) 495-6766
Mailing address
49 MAIN ST, WYOMING, NY 14591-9709
(585) 495-6766
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
305125
NY
Other
Enumeration date
03/20/2012
Last updated
03/20/2012
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