Individual
ALEXIS KLINTWORTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
67 HILLSIDE DR, AVON, NY 14414-9525
(585) 203-4853
Mailing address
67 HILLSIDE DR, AVON, NY 14414-9525
(585) 203-4853
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
804426
NY
Other
Enumeration date
05/17/2021
Last updated
05/17/2021
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