Individual
MS. CHARLENE ANN STREB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
30 BIG TREE ST, LIVONIA, NY 14487-9609
(585) 346-7309
Mailing address
30 BIG TREE ST, LIVONIA, NY 14487-9609
(585) 346-7309
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
174097-1
NY
Other
Enumeration date
03/22/2009
Last updated
03/22/2009
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