Individual
MRS. AUDRA M DONLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4242 RIDGE LEA RD, AMHERST, NY 14226-1051
(716) 819-2400
Mailing address
2566 WHITEHAVEN RD, GRAND ISLAND, NY 14072-1508
(716) 870-6794
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/18/2018
Last updated
01/18/2018
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