Individual
CIERRA A BRANHAM-HARVEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
675 RATTA RD, CHAZY, NY 12921-1830
(315) 212-8367
Mailing address
675 RATTA RD, CHAZY, NY 12921-1830
(315) 212-8367
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
344700
NY
Other
Enumeration date
07/03/2023
Last updated
07/03/2023
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