Individual
MS. CANDICE RENITA TANKSLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N
Contact information
Practice address
735 EDGECREEK TRL, ROCHESTER, NY 14609-1880
(585) 743-7049
Mailing address
735 EDGECREEK TRL, ROCHESTER, NY 14609-1880
(585) 743-7049
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
22 668666
NY
Other
Enumeration date
08/01/2016
Last updated
08/01/2016
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