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Individual

ALLYSON JANE CLARKE SICILIA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
C.R.N.A.

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R88832
SC
367500000X
Certified Registered Nurse Anesthetist
Primary
087128
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
AN2142
SC
Enumeration date
01/31/2011
Last updated
01/20/2022
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