Individual
CHARLENE A STREETER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
4638 NOBLES RD, BELMONT, NY 14813-9722
(585) 268-7240
Mailing address
18 BENNETT ST, CANASERAGA, NY 14822-9753
(607) 545-8961
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
277973-1
NY
Other
Enumeration date
08/22/2008
Last updated
08/22/2008
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