Individual
CHARMAINE PEMBERTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
20 DANA ST, ROCHESTER, NY 14606-1702
(585) 719-8685
Mailing address
20 DANA ST, ROCHESTER, NY 14606-1702
(585) 719-8685
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
295478-1
NY
Other
Enumeration date
06/05/2009
Last updated
06/05/2009
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