Individual
ALYSSA MICHELLE CLEMENT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1500 DAYSPRING RDG, WALWORTH, NY 14568-9517
(315) 986-3521
Mailing address
1500 DAYSPRING RDG, WALWORTH, NY 14568-9517
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
337402
NY
Other
Enumeration date
11/18/2022
Last updated
11/18/2022
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