Individual
MRS. TAMARA LYNNE MANCUSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PCD(DONA),CLC
Contact information
Practice address
365 MARWOOD RD, ROCHESTER, NY 14612-4266
(585) 621-9049
Mailing address
365 MARWOOD RD, ROCHESTER, NY 14612-4266
(585) 621-9049
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
—
Other
Enumeration date
04/08/2011
Last updated
04/08/2011
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