Individual
BRANDIAN NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
366 TREMONT ST, ROCHESTER, NY 14608-2316
(585) 532-0733
Mailing address
366 TREMONT ST, ROCHESTER, NY 14608-2316
(585) 532-0733
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
32135901
NY
Other
Enumeration date
10/14/2021
Last updated
10/14/2021
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