Individual
JILL N SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RT,LRT,M
Contact information
Practice address
2926 COUNTY ROAD 47, CANANDAIGUA, NY 14424-8832
(585) 905-0698
Mailing address
2926 COUNTY ROAD 47, CANANDAIGUA, NY 14424-8832
(585) 905-0698
Taxonomy
Speciality
Code
Description
License number
State
247100000X
Radiologic Technologist
Primary
790856
NY
Other
Enumeration date
05/19/2008
Last updated
05/19/2008
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