Alicia Rustvold, LPN
NPI #1982078036 in Blue Point, New York
Provider Information
- NPI Number
- 1982078036
- Entity Type
- Individual
- Name
- Alicia Rustvold, LPN
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Licensed Practical Nurse
- Credential
- LPN
- Enumeration Date
- Nov 30, 2015
- Last Updated
- Nov 30, 2015
Practice Location
- Address
- 84 EATONDALE AVE
- City
- Blue Point
- State
- New York
- ZIP Code
- 11715-1026
- Phone
- (631) 682-0498
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Practical Nurse |
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