Individual
BRANDY L DOUCET
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
8523 MAIN ST, HONEOYE, NY 14471-9637
(585) 642-0644
Mailing address
8523 MAIN ST, HONEOYE, NY 14471-9637
(585) 642-0644
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
296989
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
296989
LPN
NY
Enumeration date
12/09/2022
Last updated
12/09/2022
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