Alicia Marie Stout

NPI #1124437629 in Canastota, New York

Provider Information

NPI Number
1124437629
Entity Type
Individual
Name
Alicia Marie Stout
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Licensed Practical Nurse
Enumeration Date
Aug 8, 2014
Last Updated
Aug 8, 2014

Practice Location

Address
432 NEW BOSTON ST
Address 2
3
ZIP Code
13032-1046
Phone
(315) 632-5097

Specialties & Taxonomy Codes

Specialty
Licensed Practical Nurse

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