Individual
AIDAH MIREMBE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4141 CHURCHILL DR, ROCHESTER, NY 14616
(585) 200-0866
Mailing address
414 CHURCHILL DR, ROCHESTER, NY 14616-2112
(585) 200-0866
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
684859
NY
Other
Enumeration date
07/20/2016
Last updated
07/20/2016
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