JACOB THOMAS BLANC

ROCHESTER, NY
NPI1982220117
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: NY  336830)
Enumeration Date2020-06-23
Last Update Date2020-06-23
Business Address
JACOB THOMAS BLANC
322 WENDHURST DR
ROCHESTER, NY 14616-3647
Phone number: 585-355-1741
Mailing Address
JACOB THOMAS BLANC
322 WENDHURST DR
ROCHESTER, NY 14616-3647
Phone number:
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