Individual
ALICE COAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
2250 WEHRLE DR, WILLIAMSVILLE, NY 14221-7037
(716) 276-2123
(716) 276-2129
Mailing address
139 PARK ST UPPR, JAMESTOWN, NY 14701-8041
(716) 487-1545
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
067495
NY
Other
Enumeration date
05/30/2007
Last updated
07/08/2007
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