Individual
ETHEL M WEBB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
495 ATTRIDGE ROAD, 2, CHURCHVILLE, NY 14428-1462
(904) 655-3737
Mailing address
PO BOX 24626, ROCHESTER, NY 14624-0626
(904) 655-3737
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
04/28/2020
Last updated
04/28/2020
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