Individual
AISHA CLEMONTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
960 PORTLAND AVE, ROCHESTER, NY 14621-4174
(585) 270-4208
Mailing address
960 PORTLAND AVE, ROCHESTER, NY 14621-4174
(585) 270-4208
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
308016-1
NY
Other
Enumeration date
07/17/2014
Last updated
07/17/2014
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