Individual
MRS. BRANDI LYNN HUMPHREYS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
213 GREYSTONE LN, APT 25, ROCHESTER, NY 14618-5114
(585) 233-9631
Mailing address
213 GREYSTONE LN, APT 25, ROCHESTER, NY 14618-5114
(585) 233-9631
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
290987-1
NY
Other
Enumeration date
05/21/2009
Last updated
05/21/2009
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