Individual
ALEXIS NICOLE HOLMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
263 BLUE POINT AVE, BLUE POINT, NY 11715-1224
(866) 794-1644
Mailing address
82 ROBINWOOD DR, MASTIC BEACH, NY 11951-3211
(631) 946-2360
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
346960
NY
Other
Enumeration date
06/05/2023
Last updated
06/05/2023
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