Individual
ALIE JUNIOR MARAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
68 BLAYDON LOOP, WEST HENRIETTA, NY 14586-9804
(585) 530-7200
Mailing address
68 BLAYDON LOOP, WEST HENRIETTA, NY 14586-9804
(585) 530-7200
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
336519
NY
Other
Enumeration date
08/25/2021
Last updated
08/25/2021
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