Individual
NELLYLAILA BRAZEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
331 SAINT JOHN RD, AFTON, NY 13730-2147
(607) 423-7814
Mailing address
331 SAINT JOHN RD, AFTON, NY 13730-2147
(607) 693-1958
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
580996-01
NY
Other
Enumeration date
09/09/2022
Last updated
09/09/2022
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