Individual
JACQUI TESSENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
96 W GIBSON ST, CANANDAIGUA, NY 14424-1453
(585) 396-3910
Mailing address
1783 SPARTAN DR, FARMINGTON, NY 14425-9712
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
503752
NY
Other
Enumeration date
09/13/2018
Last updated
09/13/2018
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