Individual
CARLEE SALLAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RNFA
Contact information
Practice address
5959 BIG TREE RD, ORCHARD PARK, NY 14127-2291
(716) 740-8330
Mailing address
9551 OAKLAND ST, ANGOLA, NY 14006-9450
(716) 480-1064
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
717099-1
NY
Other
Enumeration date
09/13/2024
Last updated
09/13/2024
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