DECARRA D BRISTOW

ROCHESTER, NY
NPI1033745203
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: NY  337747)
Enumeration Date2020-03-19
Last Update Date2020-03-19
Business Address
DECARRA D BRISTOW LPN
3896 DEWEY AVE # 142
ROCHESTER, NY 14616-2527
Phone number: 585-736-0585
Mailing Address
DECARRA D BRISTOW LPN
3896 DEWEY AVE # 142
ROCHESTER, NY 14616-2527
Phone number: 585-736-0585
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