Irene Breedlove
Driver in Rochester, NY. Individual provider (NPI-1).
NPI number1952817496
StatusActive
Last updated in NPPESDec 20, 2017
Details
- NPI
- 1952817496
- Entity type
- Individual (NPI-1)
- Name
- Irene Breedlove
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 20, 2017
- Last updated
- Dec 20, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 172A00000X | Driver | 804296207 | NY | Yes |
Practice location
544 Hollenbeck StRochester, NY 14621-2238
Phone 585-713-9894
Mailing address
544 Hollenbeck StRochester, NY 14621-2238
Phone 585-713-9894
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