Individual
ALECIA MERRITT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.P.N
Contact information
Practice address
5372 BRANDYBUCK RD, BREWERTON, NY 13029-9547
(585) 857-0058
Mailing address
5372 BRANDYBUCK RD, BREWERTON, NY 13029-9547
(585) 857-0058
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
296993
NY
Other
Enumeration date
05/31/2011
Last updated
05/31/2011
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