Individual
BERTHA DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
281 W RIDGE RD, ROCHESTER, NY 14615-2927
(585) 324-5915
(585) 324-5924
Mailing address
31 SAINT JACOB ST, ROCHESTER, NY 14621-4836
(585) 474-3696
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
548418
NY
Other
Enumeration date
09/03/2013
Last updated
10/08/2013
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