Individual
MRS. LILLIAN BRADLEY HARRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSN RN CM
Contact information
Practice address
1425 PORTLAND AVE, ROCHESTER, NY 14621-3001
(585) 284-5019
Mailing address
231 GREYSTONE LN APT 9, ROCHESTER, NY 14618-5124
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
520026
NY
Other
Enumeration date
12/20/2015
Last updated
12/20/2015
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