Individual
MRS. LAQUETTA ALEXANDER-ELLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
255 ORANGE ST STE 206, ALBANY, NY 12210-2404
(518) 448-8077
Mailing address
255 ORANGE ST STE 206, ALBANY, NY 12210-2404
(518) 448-8077
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
88-379294
N/A
NY
Enumeration date
02/03/2023
Last updated
02/03/2023
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