Individual
MISS COLLEEN MARIE HANLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
646 GLEASON CIR, EAST ROCHESTER, NY 14445-2348
(585) 309-3111
Mailing address
646 GLEASON CIR, EAST ROCHESTER, NY 14445-2348
(585) 309-3111
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
301194
NY
Other
Enumeration date
12/01/2011
Last updated
12/01/2011
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