Individual
MRS. ALEXIS VICTORIA HOWARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
211 JB WISE PL, WATERTOWN, NY 13601-2507
(315) 782-7445
Mailing address
1704 STATE ST, WATERTOWN, NY 13601-3102
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
348295
NY
Other
Enumeration date
09/26/2023
Last updated
09/26/2023
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