Individual
ASSATA WASHINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
44 GRAPE ST, ROCHESTER, NY 14608-1546
(585) 505-3032
Mailing address
44 GRAPE ST, ROCHESTER, NY 14608-1546
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
348874
NY
Other
Enumeration date
07/13/2024
Last updated
07/13/2024
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