Individual
ALICIA ELTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10 RIVER VIEW PARK, NORWICH, NY 13815-1500
(607) 316-7051
Mailing address
10 RIVER VIEW PARK, NORWICH, NY 13815-1500
(607) 316-7051
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
316507-1
NY
Other
Enumeration date
11/12/2013
Last updated
11/12/2013
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