EBONI NICOLE FAIRWELL

ROCHESTER, NY
NPI1184057325
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy163W00000X Registered Nurse
(Licence: NY  674938)
Enumeration Date2013-08-12
Last Update Date2014-05-03
Business Address
-- EBONI NICOLE FAIRWELL RN
329 CHARWOOD CIR
ROCHESTER, NY 14609-2708
Phone number: 585-465-7387
Mailing Address
-- EBONI NICOLE FAIRWELL RN
329 CHARWOOD CIR
ROCHESTER, NY 14609-2708
Phone number: 585-465-7387
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