Individual
MS. CHARMEKA SWAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
120 N GLEN DR, ROCHESTER, NY 14626-1425
(585) 434-8742
Mailing address
120 N GLEN DR, ROCHESTER, NY 14626-1425
(585) 434-8742
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
331116-1
NY
Other
Enumeration date
09/28/2020
Last updated
09/28/2020
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