Individual
ALEC SISCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3720 ALUMNI AVE, MEMPHIS, TN 38111-5914
(901) 297-3119
Mailing address
3526 PHILWOOD AVE, MEMPHIS, TN 38122-4556
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
TN
Other
Enumeration date
05/06/2026
Last updated
05/06/2026
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