Individual
D'NETRA KELLY-BROOKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
120 LOZIER ST, ROCHESTER, NY 14611-2522
(585) 214-9188
Mailing address
120 LOZIER ST, ROCHESTER, NY 14611-2522
(585) 214-9188
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
313932
NY
Other
Enumeration date
01/20/2014
Last updated
01/20/2014
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