FANTAZIA EDICK, LPN
Licensed Practical Nurse
Active
Individual
NPI: 1174875082
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | Yes | 10-311923 (NY) |
Frequently Asked Questions
NPI 1174875082 is the National Provider Identifier for FANTAZIA EDICK, LPN, a Licensed Practical Nurse provider located in Rochester, NY. This NPI was enumerated on October 3, 2012.
FANTAZIA EDICK, LPN practices at 614 CLAY AVE, 2, Rochester, NY 14613.
Quick Facts
- NPI
- 1174875082
- Type
- Individual
- Enumerated
- Oct 3, 2012
- Last Updated
- Oct 3, 2012
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