Individual
AYANNA CHASTINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N
Contact information
Practice address
127 REDFERN DR, ROCHESTER, NY 14620-4619
(585) 355-3979
Mailing address
127 REDFERN DR, ROCHESTER, NY 14620-4619
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
660123
NY
Other
Enumeration date
02/13/2014
Last updated
02/13/2014
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