Individual
MRS. TRACEY MARIE TENNITY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3896 DEWEY AVE, #156, ROCHESTER, NY 14616-2527
(585) 455-6096
Mailing address
3896 DEWEY AVE, #156, ROCHESTER, NY 14616-2527
(585) 455-6096
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
526256
NY
Other
Enumeration date
02/19/2014
Last updated
02/19/2014
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