Individual
SANDRA MONGEON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
41 OCONNOR RD, FAIRPORT, NY 14450-1327
(585) 325-7828
(585) 324-7620
Mailing address
41 OCONNOR RD, FAIRPORT, NY 14450-1327
(585) 325-7828
(585) 324-7620
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
22464964
NY
Other
Enumeration date
01/03/2012
Last updated
01/03/2012
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