Individual
BRENDA COE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1300 COLLEGE AVE STE 3, ELMIRA, NY 14901-1154
(607) 733-4504
Mailing address
1000 PRATT ST APT B, ELMIRA, NY 14901-1634
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
274159
NY
Other
Enumeration date
03/23/2007
Last updated
07/08/2007
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