Individual
MRS. CHERYL LYN ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
15 DEARFIELD CT, FAIRPORT, NY 14450-9012
(720) 448-6644
Mailing address
15 DEARFIELD CT, FAIRPORT, NY 14450-9012
(720) 448-6644
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
309894
NY
Other
Enumeration date
11/06/2014
Last updated
11/06/2014
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