Most Relevant Information
Provider Data
| NPI Number: | 1003364886 |
| Provider Name: | GINA KALISH LPN |
| Entity Type: | Individual |
| Taxonomy Code: | 164W00000X |
| Specialty: | Licensed Practical Nurse |
| License Number: | 231997 |
Most Important Dates
| Enumeration Date: | 09/21/2016 |
| Last Updated: | 09/21/2016 |
Provider Practice Location
41 JENSEN DR
ROCHESTER
NY
146243931
Practice Location Phone/Fax
| Phone: | 5857098628 |
| Fax: |
Provider Mailing Location
41 JENSEN DR
ROCHESTER
NY
146243931
Provider Mailing Phone/Fax
| Phone: | 5857098628 |
| Fax: |