Individual
MRS. KYECIA CHERRELLE GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
243 VALLEY BROOK CIR, ROCHESTER, NY 14616-3640
(585) 319-7082
Mailing address
243 VALLEY BROOK CIR, ROCHESTER, NY 14616-3640
(585) 319-7082
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
733756
NY
Other
Enumeration date
06/14/2018
Last updated
06/14/2018
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