Organization
DRJC,LLC
Active
Other names
Thelma's Boutique
Organization subpart
No
Provider details
NPI number
Authorized official
RACHEL DIANE CORDOVANA (OWNER)
(585) 256-2460
Entity
Organization
Contact information
Practice address
1057 E HENRIETTA RD STE 300, ROCHESTER, NY 14623-2635
(585) 256-2460
(585) 256-2467
Mailing address
1057 E HENRIETTA RD STE 300, ROCHESTER, NY 14623-2635
(585) 256-2460
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
06/20/2021
Last updated
08/27/2022
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