Individual
ALEXIS SPENCER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
162 POND VIEW HTS, ROCHESTER, NY 14612-1308
(585) 748-0492
Mailing address
162 POND VIEW HTS, ROCHESTER, NY 14612-1308
(585) 748-0492
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
304462-1
NY
Other
Enumeration date
01/21/2011
Last updated
01/21/2011
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