FANTAZIA M EDICK

ROCHESTER, NY
NPI1174875082
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: NY  10-311923)
Enumeration Date2012-10-03
Last Update Date2012-10-03
Business Address
-- FANTAZIA M EDICK LPN
614 CLAY AVE 2
ROCHESTER, NY 14613-1030
Phone number: 585-478-0048
Mailing Address
-- FANTAZIA M EDICK LPN
614 CLAY AVE 2
ROCHESTER, NY 14613-1030
Phone number: 585-478-0048
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