Individual
ROXANNE S HENRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
422 CLINTON AVE S, ROCHESTER, NY 14620-1103
(716) 508-0267
Mailing address
422 CLINTON AVE S, ROCHESTER, NY 14620-1103
(585) 270-1969
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
313046
NY
Other
Enumeration date
11/06/2020
Last updated
08/22/2023
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