Individual
MRS. CANDICE LATRICE TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
91 CULVER PKWY, ROCHESTER, NY 14609-4548
(585) 472-6520
Mailing address
91 CULVER PKWY, ROCHESTER, NY 14609-4548
(585) 472-6520
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
2803051
NY
Other
Enumeration date
07/14/2011
Last updated
07/14/2011
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