Individual
CARLOS GARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3244 WINTON RD S, ROCHESTER, NY 14623-5969
(585) 770-0907
Mailing address
3244 WINTON RD S, ROCHESTER, NY 14623-5969
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
276716
NY
Other
Enumeration date
12/16/2015
Last updated
12/16/2015
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