Individual
MRS. BRANDI JENNIFER WALDRON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
320 CEDAR TER, HILTON, NY 14468-1440
(585) 392-0057
Mailing address
320 CEDAR TER, HILTON, NY 14468-1440
(585) 392-0057
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
295831
NY
Other
Enumeration date
09/20/2009
Last updated
09/20/2009
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