THERESA MACK

ROCHESTER, NY
NPI1700171378
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: NY  300781)
Enumeration Date2011-06-12
Last Update Date2011-06-12
Business Address
-- THERESA MACK LPN
394 ELECTRIC AVE
ROCHESTER, NY 14613-1004
Phone number: 585-317-7712
Mailing Address
-- THERESA MACK LPN
394 ELECTRIC AVE
ROCHESTER, NY 14613-1004
Phone number: 585-317-7712