Individual
AMPARO G TAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
30 WOOLACOTT RD, ROCHESTER, NY 14617-5117
(585) 467-6242
Mailing address
30 WOOLACOTT RD, ROCHESTER, NY 14617-5117
(585) 467-6242
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
579638
NY
Other
Enumeration date
04/28/2009
Last updated
04/28/2009
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