Individual
CARRIE BUTLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
49 BRECKENRIDGE DR, ROCHESTER, NY 14626-3770
(585) 286-0339
Mailing address
PO BOX 19686, ROCHESTER, NY 14619-0686
(585) 286-0339
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
204308-1
NY
Other
Enumeration date
07/28/2010
Last updated
07/28/2010
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