Individual
CANISHA M PEARSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
159 MICHIGAN ST, ROCHESTER, NY 14606-2549
(585) 754-1228
Mailing address
159 MICHIGAN ST, ROCHESTER, NY 14606-2549
(585) 754-1228
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
300086-1
NY
Other
Enumeration date
09/25/2011
Last updated
09/25/2011
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