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Individual

MS. ALICIA DENISE SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2018 16TH ST, NIAGARA FALLS, NY 14305-2930
(716) 201-7044
Mailing address
2018 16TH ST, NIAGARA FALLS, NY 14305-2930
(716) 201-7044

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
296834-1
NY

Other

Enumeration date
08/04/2015
Last updated
08/04/2015
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