Alex Southwell

NPI #1073053310 in Mexico, New York

Provider Information

NPI Number
1073053310
Entity Type
Individual
Name
Alex Southwell
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Licensed Practical Nurse
Enumeration Date
Mar 6, 2017
Last Updated
Mar 6, 2017

Practice Location

Address
3191B MAIN ST
City
Mexico
ZIP Code
13114-3395
Phone
(607) 895-7983

Specialties & Taxonomy Codes

Specialty
Licensed Practical Nurse

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