Individual
DANIELLE BLAIR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1865 PLANK RD, WEBSTER, NY 14580-9307
(585) 748-1122
Mailing address
1865 PLANK RD, WEBSTER, NY 14580-9307
(585) 748-1122
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
279867-1
NY
Other
Enumeration date
05/21/2010
Last updated
05/21/2010
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