Stephanie K Myricks
Private Vehicle in Rochester, NY. Individual provider (NPI-1).
NPI number1740924026
StatusActive
Last updated in NPPESApr 23, 2022
Details
- NPI
- 1740924026
- Entity type
- Individual (NPI-1)
- Name
- Stephanie K Myricks
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Apr 23, 2022
- Certification date
- Apr 23, 2022
- Last updated
- Apr 23, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 347C00000X | Private Vehicle | – | – | Yes |
Practice location
25 Rosalind StRochester, NY 14619-2121
Phone 585-284-0687
Mailing address
25 Rosalind StRochester, NY 14619-2121
Phone 585-284-0687
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