| NPI | 1861781759 |
|---|---|
| Doing Business As | SELF |
| Entity Type | Organization |
| Authorized Contact | ANDREANA H BROWN Lpn 585-734-2650 |
| Organization Subpart ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: NY 27300) |
| Enumeration Date | 2011-03-31 |
| Last Update Date | 2011-03-31 |