Individual
CHRISTINA DIONNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
169 E MAIN ST, VICTOR, NY 14564-1303
(585) 924-7547
Mailing address
169 EAST MAIN ST, VICTOR, NY 14564
Taxonomy
Speciality
Code
Description
License number
State
374700000X
Technician
Primary
290291
NY
3747A0650X
Attendant Care Provider
290291
NY
Other
Enumeration date
11/26/2014
Last updated
11/26/2014
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