Organization
TAHJA EASON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TAHJA M EASON (LPN)
(585) 734-5436
Entity
Organization
Contact information
Practice address
70 LAKESHIRE RD, ROCHESTER, NY 14612-5222
(585) 734-5436
Mailing address
70 LAKESHIRE RD, ROCHESTER, NY 14612-5222
(585) 734-5436
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
313387
NY
Other
Enumeration date
09/14/2015
Last updated
09/14/2015
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