Individual
MYRANDA DONK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2450 W RIDGE RD, ROCHESTER, NY 14626-3037
(585) 448-0936
Mailing address
2450 W RIDGE RD, ROCHESTER, NY 14626-3037
(585) 448-0936
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
11/29/2021
Last updated
11/29/2021
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