Individual
BROOKE THIROUX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
635 LAURELTON RD, IRONDEQUOIT, NY 14609-4511
(315) 484-8173
Mailing address
635 LAURELTON RD, IRONDEQUOIT, NY 14609-4511
(315) 484-8173
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
295568
NY
Other
Enumeration date
03/19/2015
Last updated
03/19/2015
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