Individual
CHARQUNIA LOVE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
67 KELLER ST, ROCHESTER, NY 14609-3948
(585) 284-9400
Mailing address
67 KELLER ST, ROCHESTER, NY 14609-3948
(585) 284-9400
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
328416
NY
Other
Enumeration date
05/11/2017
Last updated
05/11/2017
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