Individual
AMARRIA DIVINE HOWARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
254 HAWKS NEST CIRCLE, ROCHESTER, NY 14626-4848
(585) 642-2642
Mailing address
254 HAWKS NEST CIRCLE, ROCHESTER, NY 14626-4848
(585) 642-2642
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
347122
NY
Other
Enumeration date
05/30/2024
Last updated
05/30/2024
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