Individual
ALISSA NICOLE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
9 GEORGE ST, LE ROY, NY 14482-1535
(585) 709-5480
Mailing address
9 GEORGE ST, LE ROY, NY 14482-1535
(585) 709-5480
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
347853
NY
Other
Enumeration date
09/13/2023
Last updated
09/13/2023
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