Individual
CYAN TYNETTE POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15 ST. CLAIR STREET, ROCHESTER, NY 14611
(585) 565-2430
Mailing address
15 ST. CLAIR STREET, ROCHESTER, NY 14611
(585) 565-2430
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
346043
NY
Other
Enumeration date
03/31/2023
Last updated
03/31/2023
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