Individual
MRS. BRITTNEY RENEE FANTOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
199 CENTER ST, CLEVELAND, NY 13042-3155
(315) 243-0024
Mailing address
199 CENTER ST, CLEVELAND, NY 13042-3155
(315) 243-0024
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
NY
Other
Enumeration date
03/27/2019
Last updated
03/27/2019
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