Individual
ANGELICA LIZZA RUTH DIENAAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
400 FOREST AVE, BUFFALO, NY 14213-1207
(716) 816-2016
Mailing address
103 WARESIDE ROAD, ETOBICOKE, ON M9C 3-B7
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
942738
NY
Other
Enumeration date
01/08/2025
Last updated
01/08/2025
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