Individual
MS. ALTRICIA GLISSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
511 WINSLOW AVE UPPR, BUFFALO, NY 14211-1361
(716) 400-7528
Mailing address
511 WINSLOW AVE, BUFFALO, NY 14211-1361
(716) 400-7528
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
3343641
NY
Other
Enumeration date
05/20/2020
Last updated
05/20/2020
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