Individual
BRENDA LYNN MICHAEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
31 WESTWOOD DR, BROCKPORT, NY 14420-1742
(585) 356-8571
Mailing address
31 WESTWOOD DR, BROCKPORT, NY 14420-1742
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
764998
NY
Other
Enumeration date
09/08/2021
Last updated
09/08/2021
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