Individual
MARLENA ROSE RACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 MUSTARD ST, ROCHESTER, NY 14609-6980
(585) 256-7500
Mailing address
1 MUSTARD ST, ROCHESTER, NY 14609-6980
(585) 256-7500
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
NY
Other
Enumeration date
02/21/2019
Last updated
02/21/2019
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