GENA MARIE BASHAM

FAIRPORT, NY
NPI1639446081
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy163W00000X Registered Nurse
(Licence: NY  571890)
Enumeration Date2011-11-29
Last Update Date2011-11-29
Business Address
Ms. GENA MARIE BASHAM RN
41 OCONNOR RD
FAIRPORT, NY 14450-1327
Phone number: 585-328-3440
Mailing Address
Ms. GENA MARIE BASHAM RN
111 MYRTLE ST
LE ROY, NY 14482-1333
Phone number: