Individual
CHARMAINE FREEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
192 MOXON DR, ROCHESTER, NY 14612-1815
(585) 490-7879
Mailing address
192 MOXON DR, ROCHESTER, NY 14612-1815
(585) 490-7879
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
337367
NY
Other
Enumeration date
02/13/2023
Last updated
02/13/2023
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