Individual
ALLISON KRISTENE GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
22 LONRAN DR, ROCHESTER, NY 14624-3914
(585) 354-9824
Mailing address
22 LONRAN DR, ROCHESTER, NY 14624-3914
(585) 354-9824
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
302180
NY
Other
Enumeration date
01/22/2011
Last updated
08/14/2013
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