Individual
MISS AUDREY MARIE LEONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
12 MATTHEW DR, FAIRPORT, NY 14450-9334
(585) 789-7762
Mailing address
12 MATTHEW DR, FAIRPORT, NY 14450-9334
(585) 789-7762
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
346365
NY
Other
Enumeration date
02/07/2023
Last updated
02/07/2023
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