Individual
MS. BRENDA MARGARET MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
5502 ST. RT 36, #48, MT MORRIS, NY 14510
(585) 658-2545
Mailing address
5502 ST. RT 36, #48, MT MORRIS, NY 14510
(585) 658-2545
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
277832-1
NY
Other
Enumeration date
07/22/2010
Last updated
07/22/2010
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