Individual
ALEXA GABRIELLE VISCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
111 COLCHESTER AVE, BURLINGTON, VT 05401-1473
(802) 847-2370
Mailing address
83 NORTH AVE, APT 3, BURLINGTON, VT 05401-5312
(802) 318-1391
Taxonomy
Speciality
Code
Description
License number
State
364SN0000X
Neonatal Clinical Nurse Specialist
Primary
1010102746
VT
Other
Enumeration date
11/14/2014
Last updated
11/14/2014
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