Individual
MS. ALYSSA STAGGERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
245 GALLUP RD, SPENCERPORT, NY 14559-9558
(585) 202-1048
Mailing address
245 GALLUP RD, SPENCERPORT, NY 14559-9558
(585) 202-1048
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
296394
NY
Other
Enumeration date
03/09/2009
Last updated
03/09/2009
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