Individual
ALISA TRINH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
750 E ADAMS ST, SYRACUSE, NY 13210-2306
(615) 464-3165
Mailing address
750 E ADAMS ST, SYRACUSE, NY 13210-2306
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/04/2019
Last updated
06/04/2019
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