Individual
NAN GULNAC KELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2089 MAIDEN LN, ROCHESTER, NY 14626-1246
(585) 966-4705
(585) 966-4778
Mailing address
2089 MAIDEN LN, ROCHESTER, NY 14626-1246
(585) 966-4705
(585) 966-4778
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
297972-1
NY
Other
Enumeration date
10/02/2019
Last updated
10/02/2019
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