Individual
MR. COURTNEY MICHAEL WELLINGTON II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.P.N.
Contact information
Practice address
3 KESTREL ST APT DN, ROCHESTER, NY 14613-2120
(585) 269-4478
Mailing address
3 KESTREL ST APT DN, ROCHESTER, NY 14613-2120
(585) 269-4478
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
323533-1
NY
Other
Enumeration date
05/31/2016
Last updated
05/31/2016
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