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Individual

BRIANA LYNN BANCROFT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
364 TWINBARK AVE, HOLBROOK, NY 11741-5722
(631) 317-8154
Mailing address
364 TWINBARK AVE, HOLBROOK, NY 11741-5722
(631) 317-8154

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
330677-1
NY

Other

Enumeration date
10/18/2018
Last updated
10/18/2018
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