Individual
WILBERN C RUTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OPTICIAN
Contact information
Practice address
601 ELMWOOD AVE, ROCHESTER, NY 14642-0001
(585) 275-9800
Mailing address
601 ELMWOOD AVE, ROCHESTER, NY 14642-0001
(585) 275-9800
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
009706
NY
Other
Enumeration date
04/17/2018
Last updated
04/17/2018
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