Individual
LATOYIA DIROMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
490 E RIDGE RD, ROCHESTER, NY 14621-1229
(585) 922-2741
Mailing address
490 E RIDGE RD, ROCHESTER, NY 14621-1229
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
171M00000X
—
NY
Enumeration date
12/02/2014
Last updated
12/02/2014
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