Individual
MR. DAMONT TERRELL GERMANY SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
54 LORIMER ST, ROCHESTER, NY 14608-1135
(585) 353-2638
Mailing address
54 LORIMER ST, ROCHESTER, NY 14608-1135
(585) 353-2638
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
423295160
NY
Other
Enumeration date
07/12/2019
Last updated
07/12/2019
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