TEQUILA IVEY

ROCHESTER, NY
NPI1811355845
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: NY  316825)
Enumeration Date2016-02-04
Last Update Date2016-02-04
Business Address
-- TEQUILA IVEY LPN
1038 PLYMOUTH AVE S
ROCHESTER, NY 14608-2941
Phone number: 585-503-6255
Mailing Address
-- TEQUILA IVEY LPN
1038 PLYMOUTH AVE S
ROCHESTER, NY 14608-2941
Phone number: 585-503-6255
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