Individual
MS. ODESI SAMANTHA JUNOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
601 ELMWOOD AVE, ROCHESTER, NY 14642
(585) 275-2100
Mailing address
2 MISSION HILL DR, BROCKPORT, NY 14420-1559
(585) 754-1985
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
485696
NY
367500000X
Certified Registered Nurse Anesthetist
Primary
485696-01
NY
Other
Enumeration date
05/03/2018
Last updated
06/30/2023
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