Individual
MS. ASUNTA ANDREA ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
85 BROOKS AVE, ROCHESTER, NY 14619-2453
(585) 350-5664
Mailing address
85 BROOKS AVE, ROCHESTER, NY 14619-2453
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
297067-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
297067-1
LPN CERTIFICATION NUMBER
NY
Enumeration date
05/17/2010
Last updated
05/17/2010
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