Individual
JOHANNA M NELLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS/OTR/L
Contact information
Practice address
45 ROSEDALE ST, ROCHESTER, NY 14620-1809
(585) 615-3205
Mailing address
45 ROSEDALE ST, ROCHESTER, NY 14620-1809
(585) 615-3205
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
007603-1
NY
Other
Enumeration date
10/25/2010
Last updated
10/25/2010
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