TRISTAN ELLISON

ROCHESTER, NY
NPI1730485251
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: NY  10 303992)
Enumeration Date2011-01-31
Last Update Date2011-01-31
Business Address
-- TRISTAN ELLISON
19 ACORN VALLEY TRL
ROCHESTER, NY 14624-1935
Phone number: 585-755-3823
Mailing Address
-- TRISTAN ELLISON
19 ACORN VALLEY TRL
ROCHESTER, NY 14624-1935
Phone number: 585-755-3823
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