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Individual

BRITTANY M REAVES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
91 E RIDGE RD, ROCHESTER, NY 14621-1305
(585) 654-6731
Mailing address
91 E RIDGE RD, ROCHESTER, NY 14621-1305
(585) 654-6731

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
298801-1
NY

Other

Enumeration date
11/10/2010
Last updated
11/10/2010
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