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Individual

BRANDI MICHELLE JENKINS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
760 SEWARD ST, ROCHESTER, NY 14611-3840
(585) 576-3875
Mailing address
760 SEWARD ST, ROCHESTER, NY 14611-3840
(585) 576-3875

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
317283-1
NY

Other

Enumeration date
02/13/2014
Last updated
02/13/2014
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