Individual
ALAINA LEANN TRIPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1519 NYE RD STE 200, LYONS, NY 14489-9112
(315) 530-5581
Mailing address
124 W GENESEE ST, CLYDE, NY 14433-1023
(315) 651-9324
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03001970
—
NY
Enumeration date
09/11/2018
Last updated
09/11/2018
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