Individual
DAVIDA JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
99 FAIRVIEW AVE, ROCHESTER, NY 14619-2245
(585) 820-6683
Mailing address
99 FAIRVIEW AVE, ROCHESTER, NY 14619-2245
(585) 820-6683
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
340767
NY
Other
Enumeration date
12/26/2021
Last updated
12/26/2021
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