Individual
CAITLYN JEAN DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
10 MIRACLE MILE DR, ROCHESTER, NY 14623-5851
(585) 275-6201
Mailing address
601 ELMWOOD AVE BOX 665, ROCHESTER, NY 14642-0001
(585) 275-6201
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
025828
NY
Other
Enumeration date
10/23/2020
Last updated
04/25/2024
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