Individual
BRENDALEE BROWN ROLLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8053 STATE STREET RD, BATAVIA, NY 14020-1023
(772) 678-1284
Mailing address
8053 STATE STREET RD, BATAVIA, NY 14020-1023
(772) 678-1284
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
254759
NY
Other
Enumeration date
03/07/2017
Last updated
03/07/2017
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