Individual
ANASTASIA KIMBERLY POLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1341 CLIFFORD AVE, ROCHESTER, NY 14621-5638
(585) 635-3389
Mailing address
1341 CLIFFORD AVE, ROCHESTER, NY 14621-5638
(585) 635-3389
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
349374
NY
Other
Enumeration date
07/30/2024
Last updated
07/30/2024
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