Individual
MS. COLLEEN ROSE POORMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
123 W SQUIRE DR, ROCHESTER, NY 14623-1712
(585) 503-6380
Mailing address
123 W SQUIRE DR, ROCHESTER, NY 14623-1712
(585) 503-6380
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
613578-1
NY
Other
Enumeration date
06/17/2010
Last updated
06/17/2010
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