Individual
CHARDAE J'MELLA JOHNSON-BALDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1010 E AND WEST RD, WEST SENECA, NY 14224-3602
(716) 677-7115
Mailing address
1010 E AND WEST RD, WEST SENECA, NY 14224-3602
(716) 677-7115
Taxonomy
Speciality
Code
Description
License number
State
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
Primary
719535
NY
Other
Enumeration date
12/21/2017
Last updated
04/06/2018
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