MRS. Trudy Johnette Mack, LPN

NPI #1003061839 in Rochester, New York

Provider Information

NPI Number
1003061839
Entity Type
Individual
Name
MRS. Trudy Johnette Mack, LPN
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Licensed Practical Nurse
Credential
LPN
Enumeration Date
Nov 20, 2008
Last Updated
Nov 20, 2008

Practice Location

Address
165 N. WATER STREET
Address 2
APT. 205
ZIP Code
14604
Phone
(585) 286-0097

Specialties & Taxonomy Codes

Specialty
Licensed Practical Nurse

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