Individual
DANETTA WATKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
379 COLUMBIA AVE, ROCHESTER, NY 14611-3637
(585) 498-5280
Mailing address
379 COLUMBIA AVE, ROCHESTER, NY 14611-3637
(585) 498-5280
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
334098
NY
Other
Enumeration date
08/02/2022
Last updated
08/02/2022
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