Individual
ALLYSA KYLEE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
221 1/2 MOTT ST, CORRY, PA 16407-1540
(716) 489-6602
Mailing address
221 1/2 MOTT ST, CORRY, PA 16407-1540
(716) 489-6602
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
337007
NY
Other
Enumeration date
11/21/2019
Last updated
11/21/2019
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