Individual
JENNIFER K YERDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
230 S MAIN ST, CANANDAIGUA, NY 14424-2115
(585) 905-0029
(855) 606-4220
Mailing address
230 S MAIN ST, CANANDAIGUA, NY 14424-2115
(585) 905-0029
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
007700-1
NY
Other
Enumeration date
04/13/2023
Last updated
04/13/2023
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