Individual
CRYSTAL MARIE ELDREDGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
232 GLEASON CIR, EAST ROCHESTER, NY 14445-2332
(315) 406-8408
Mailing address
232 GLEASON CIRCLE, EAST ROCHESTER, NY 14456
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
305032
NY
Other
Enumeration date
06/10/2011
Last updated
06/10/2011
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