Individual
BRAYLA A POTTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
811 AYRAULT RD, FAIRPORT, NY 14450-8964
(585) 201-0882
Mailing address
26 CORNWALL XING, ROCHESTER, NY 14624-5009
(585) 451-0245
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
94651801
NY
Other
Enumeration date
04/02/2025
Last updated
04/02/2025
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