MS. Shirley Brock, LPN

NPI #1992082614 in Parish, New York

Provider Information

NPI Number
1992082614
Entity Type
Individual
Name
MS. Shirley Brock, LPN
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Licensed Practical Nurse
Credential
LPN
Enumeration Date
Nov 9, 2011
Last Updated
Nov 9, 2011

Practice Location

Address
565 COUNTY ROUTE 22
City
Parish
ZIP Code
13131-3181
Phone
(315) 625-7375

Specialties & Taxonomy Codes

Specialty
Licensed Practical Nurse

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