Individual
BIANCA CRUICKSHANK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
53 LILAC DR APT 3, ROCHESTER, NY 14620-3212
(516) 717-9119
Mailing address
53 LILAC DR APT 3, ROCHESTER, NY 14620-3212
(516) 717-9119
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
748559
NY
Other
Enumeration date
01/13/2019
Last updated
01/13/2019
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