Individual
ANNELL BOONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
259 AVIS ST, ROCHESTER, NY 14615-3301
(585) 227-7939
Mailing address
259 AVIS ST, ROCHESTER, NY 14615-3301
(585) 227-7939
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
223683-1
NY
Other
Enumeration date
10/03/2010
Last updated
10/03/2010
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