GLEN DALE BRADY

ROCHESTER, NY
NPI1063691533
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: NY  231182-1)
Enumeration Date2007-10-31
Last Update Date2007-10-31
Business Address
Mr. GLEN DALE BRADY L.P.N
78 WILLMONT ST
ROCHESTER, NY 14609-3620
Phone number: 585-288-6598
Mailing Address
Mr. GLEN DALE BRADY L.P.N
78 WILLMONT ST
ROCHESTER, NY 14609-3620
Phone number: 585-288-6598