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Individual

ALEXANDRIA HUDGINS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
60 MAIN ST, PORT BYRON, NY 13140
(315) 776-9700
(315) 776-9701
Mailing address
14 MAIDEN LN, PENN YAN, NY 14527-1208
(315) 531-9102
(315) 531-9103

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
691247
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
691247
LICENSE
NY
Enumeration date
09/23/2016
Last updated
09/23/2016
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