JUSTIN A PONDER

ROCHESTER, NY
NPI1861255671
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: NY  345860)
Enumeration Date2024-02-05
Last Update Date2024-02-05
Business Address
JUSTIN A PONDER
1233 LATTA RD APT 5
ROCHESTER, NY 14612-4041
Phone number: 585-851-4828
Mailing Address
JUSTIN A PONDER
1233 LATTA RD APT 5
ROCHESTER, NY 14612-4041
Phone number: 585-851-4828