Individual
BRIANNA MCGUIRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
77 ROUTE 109, WEST BABYLON, NY 11704-6207
(631) 522-6283
Mailing address
77 ROUTE 109, WEST BABYLON, NY 11704-6207
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
342143
NY
Other
Enumeration date
08/27/2021
Last updated
08/27/2021
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