Individual
BRIA S JILES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
576 WEGMAN RD, ROCHESTER, NY 14624-1434
(585) 435-6130
Mailing address
576 WEGMAN RD, ROCHESTER, NY 14624-1434
(585) 435-6130
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
336129
NY
Other
Enumeration date
09/22/2019
Last updated
09/22/2019
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