Individual
ALICIA HASKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
111 DAVIS ST, ELMIRA, NY 14905-2503
(607) 731-8059
Mailing address
111 DAVIS ST, ELMIRA, NY 14905-2503
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
319353
NY
Other
Enumeration date
02/02/2016
Last updated
02/02/2016
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