Individual
MS. ALYSIA MAHONEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
150 TEABERRY DR, SPENCERPORT, NY 14559-1723
(585) 773-6425
Mailing address
150 TEABERRY DR, SPENCERPORT, NY 14559-1723
(585) 773-6425
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
346109
NY
Other
Enumeration date
01/06/2023
Last updated
01/06/2023
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