Individual
MRS. SHELLY J EWERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
8996 WILKINSON RD, BATAVIA, NY 14020-9576
(585) 815-3352
Mailing address
8996 WILKINSON RD, BATAVIA, NY 14020-9576
(585) 815-3352
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
620365
NY
Other
Enumeration date
02/25/2013
Last updated
02/25/2013
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