Most Relevant Information
Provider Data
| NPI Number: | 1003013434 |
| Provider Name: | JUDY ANN WHITE BRASSARD L.P.N |
| Entity Type: | Individual |
| Taxonomy Code: | 164W00000X |
| Specialty: | Licensed Practical Nurse |
| License Number: | 063093-1 |
Most Important Dates
| Enumeration Date: | 06/29/2007 |
| Last Updated: | 11/27/2007 |
Provider Practice Location
85 WASSON ST
WITHERBEE
NY
129981650
Practice Location Phone/Fax
| Phone: | 5185463218 |
| Fax: |
Provider Mailing Location
PO BOX 177
MINEVILLE
NY
129560177
Provider Mailing Phone/Fax
| Phone: | 5189427753 |
| Fax: |