Individual
DEANNA N WARREN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6157 LILLYPOND WAY, ONTARIO, NY 14519-8622
(585) 259-6241
Mailing address
122 DREXMORE RD, ROCHESTER, NY 14610-1218
(585) 402-8694
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
342459
NY
Other
Enumeration date
09/22/2021
Last updated
09/22/2021
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