Individual
MISS ALICE EASMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
2130 CROTONA AVE, APT. 2F, BRONX, NY 10457-2732
(646) 670-0757
Mailing address
2130 CROTONA AVE, APT. 2F, BRONX, NY 10457-2732
(646) 670-0757
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
307494-1
NY
Other
Enumeration date
10/17/2011
Last updated
10/17/2011
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