Individual
MS. JAIMI LYNN SULLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
797 N WINTON RD, ROCHESTER, NY 14609-7725
(585) 340-6497
Mailing address
797 N WINTON RD, ROCHESTER, NY 14609-7725
(585) 340-6497
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
281131
NY
Other
Enumeration date
12/10/2011
Last updated
12/10/2011
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