Theresa Yvonne Dillard RN

NPI 1053562025 - Registered Nurse - 163W00000X

NPI Details
NPI 1053562025
Gender Female
Enumeration Date 10/08/2008
Last Updated 10/08/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
302 BROOKS AVE
ROCHESTER NY, 14619-2431, US
Phone (585) 319-4256
Fax
Business Location
302 BROOKS AVE
ROCHESTER NY, 14619-2431, US
Phone (585) 319-4256
Fax
Toxanomy
Taxonomy Code 163W00000X
License State New York
License Number 607597-1
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According to our database, Mrs. Theresa Yvonne Dillard RN NPI is 1053562025, taxonomy code is 163W00000X and license number is 607597-1, license state is located at New York. Theresa Yvonne Dillard RN physically located at 302 Brooks Ave, Rochester NY, 14619-2431. NPI Number Theresa Yvonne Dillard RN has the Individual type.

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1053562025 NPI number is provided on an as is basis without warranty of any kind. 1053562025 is maintained by the National Plan & Provider Enumeration System. The contents of Theresa Yvonne Dillard RN are for informational purposes only.