Individual
MRS. MARY L SCHWORM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
41 OCONNOR RD, FAIRPORT, NY 14450-1327
(585) 232-1530
(585) 262-8965
Mailing address
24 WILLOWVIEW DRIVE, PENFIELD, NY 14526
(585) 232-1530
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
372186
NY
Other
Enumeration date
12/09/2011
Last updated
12/09/2011
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