Individual
MS. ASHALEIGH MALONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
111 GAYNOR AVE, SYRACUSE, NY 13206-2024
(315) 741-2767
Mailing address
111 GAYNOR AVE, SYRACUSE, NY 13206-2024
(315) 741-2767
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
10 316041
NY
Other
Enumeration date
01/21/2016
Last updated
01/21/2016
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