DANIEL JOSE IDOATE DOMENCH

ROCHESTER, NY
NPI1144901752
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2023-07-27
Last Update Date2023-07-27
Business Address
DANIEL JOSE IDOATE DOMENCH
1425 PORTLAND AVE
ROCHESTER, NY 14621-3011
Phone number: 323-350-0446
Mailing Address
DANIEL JOSE IDOATE DOMENCH
253 ALEXANDER ST APT 418
ROCHESTER, NY 14607-2542
Phone number: 323-350-0446
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