Chanese Grant

NPI 1518197789 - Licensed Practical Nurse - 164W00000X

NPI Details
NPI 1518197789
Gender Female
Enumeration Date 07/21/2009
Last Updated 07/21/2009
Entity Type Individual
Active Over 7 years ago
Practice Location
139 BRECK ST
ROCHESTER NY, 14609-7053, US
Phone (585) 354-7867
Fax
Business Location
139 BRECK ST
ROCHESTER NY, 14609-7053, US
Phone (585) 354-7867
Fax
Toxanomy
Taxonomy Code 164W00000X
License State New York
License Number 290884
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According to our database, Chanese Grant NPI is 1518197789, taxonomy code is 164W00000X and license number is 290884, license state is located at New York. Chanese Grant physically located at 139 Breck St, Rochester NY, 14609-7053. NPI Number Chanese Grant has the Individual type.

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1518197789 NPI number is provided on an as is basis without warranty of any kind. 1518197789 is maintained by the National Plan & Provider Enumeration System. The contents of Chanese Grant are for informational purposes only.