Individual
CHRISTINA WYNN-HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
714 BROWN ST, ROCHESTER, NY 14611-2308
(585) 748-2867
Mailing address
714 BROWN ST, ROCHESTER, NY 14611-2308
(585) 748-2867
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
317123
NY
Other
Enumeration date
05/14/2014
Last updated
05/14/2014
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