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Individual

ALTRENIA BOYKIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
15 GREEN KNOLLS DR APT D, ROCHESTER, NY 14620-4772
(585) 529-4808
Mailing address
15GREEN KNOLLS DR. APT. D, ROCHESTER, NY 14620

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
281490
NY
164W00000X
Licensed Practical Nurse
281490164W00000X
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02737502
NY
Enumeration date
07/19/2007
Last updated
07/19/2007
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