Individual
CECELIA THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
17 WAIT ST, ROCHESTER, NY 14605-2367
(585) 317-0294
Mailing address
17 WAIT ST, ROCHESTER, NY 14605-2367
(585) 317-0294
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
311859
NY
Other
Enumeration date
10/22/2012
Last updated
10/22/2012
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