Individual
MRS. HEATHER DIRK STEVENSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2630 RIDGE RD, ONTARIO, NY 14519-9560
(585) 355-5399
Mailing address
2630 RIDGE RD, ONTARIO, NY 14519-9560
(585) 355-5399
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
Primary
639656
NY
Other
Enumeration date
08/09/2012
Last updated
08/09/2012
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