Individual
MRS. BRENDA JEAN ASWAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
7413 EADES RD, RED CREEK, NY 13143-3151
(315) 754-8707
(315) 754-8707
Mailing address
7413 EADES RD, RED CREEK, NY 13143-3151
(315) 754-8707
(315) 754-8707
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
156852
NY
Other
Enumeration date
06/16/2014
Last updated
06/16/2014
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