Individual
CAROLINA ANDRINA TEJADA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
2450 SAINT PAUL BLVD, ROCHESTER, NY 14617-4563
(315) 913-5300
Mailing address
2450 SAINT PAUL BLVD, ROCHESTER, NY 14617-4563
(315) 913-5300
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
340162-01
NY
Other
Enumeration date
06/09/2021
Last updated
06/09/2021
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