Individual
BRANDI L CRAFT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
140 CALDWELL HILL RD, LISLE, NY 13797-2109
(607) 205-0716
Mailing address
140 CALDWELL HILL RD, LISLE, NY 13797-2109
(607) 205-0716
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
10295494
NY
Other
Enumeration date
05/03/2010
Last updated
05/03/2010
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