Individual
MISS BRANDY SHEA ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1077 LAKE RD, CATO, NY 13033-4201
(315) 224-6242
Mailing address
1077 LAKE RD, CATO, NY 13033-4201
(315) 224-6242
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
274411
NY
Other
Enumeration date
10/02/2009
Last updated
10/02/2009
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