Individual
MISS CANDACE JOYCE COLON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
199 SPRUCE AVE, ROCHESTER, NY 14611-4040
(585) 363-1717
Mailing address
PO BOX 90331, ROCHESTER, NY 14609-0331
(585) 363-1717
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
315666
NY
164X00000X
Licensed Vocational Nurse
315666
NY
Other
Enumeration date
10/01/2013
Last updated
01/01/2015
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