Individual
BRANDI LEE NIETO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
357 GENESEE ST STE 3, ONEIDA, NY 13421-2693
(315) 363-8800
Mailing address
PO BOX 252, TABERG, NY 13471-0252
(315) 240-0295
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
270810
NY
Other
Enumeration date
05/30/2024
Last updated
05/30/2024
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