Individual
ALECIA ROOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
64 REXFORD ST APT 1, NORWICH, NY 13815-1124
(607) 226-4241
Mailing address
64 REXFORD ST APT 1, NORWICH, NY 13815-1124
(607) 226-4241
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
285866-1
NY
Other
Enumeration date
01/13/2016
Last updated
01/15/2016
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