Individual
MRS. CASEY LYNN ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
9 SCHOOL STREET, RICHVILLE, NY 13681
(315) 287-4906
Mailing address
PO BOX 222, RICHVILLE, NY 13681-0222
(315) 287-4906
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
286012
NY
Other
Enumeration date
07/27/2011
Last updated
07/27/2011
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