Individual
MISS REBECCA LAURA DELYSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
1519 NYE RD, LYONS, NY 14489-9133
(315) 871-3178
Mailing address
7585 BEAR SWAMP RD, WILLIAMSON, NY 14589-9638
(585) 944-9419
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
025107-1
NY
Other
Enumeration date
04/16/2018
Last updated
04/16/2018
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