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Individual

BREANNA ANDREWS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
28 TIMBER TRAIL LN, MEDFORD, NY 11763-2121
(631) 346-7242
Mailing address
28 TIMBER TRAIL LN, MEDFORD, NY 11763-2121
(631) 346-7242

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
309907-1
NY

Other

Enumeration date
10/15/2012
Last updated
06/26/2013
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