KELLI BRISLAN

OSWEGO, NY
NPI1346883055
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy174400000X Specialist
(Licence: NY  653318438)
Enumeration Date2019-10-25
Last Update Date2019-10-25
Business Address
KELLI BRISLAN
159 W 1ST ST
OSWEGO, NY 13126-2045
Phone number: 315-342-9575
Mailing Address
KELLI BRISLAN
32376 TOWN LINE RD
PHILADELPHIA, NY 13673-2177
Phone number: 315-783-6678