Individual
ALISA T QUIET
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
9 WALSH TER, JERICHO, VT 05465-3005
(802) 274-0971
Mailing address
9 WALSH TER, JERICHO, VT 05465-3005
(802) 274-0971
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
025.0136275
VT
Other
Enumeration date
09/05/2022
Last updated
09/05/2022
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