Individual
ANN MARIE COBO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
14703 ALDRICH ST, GOWANDA, NY 14070
(716) 345-7583
Mailing address
14703 ALDRICH ST. EXT, GOWANDA, NY 14070
(716) 345-7583
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
317380-1
NY
Other
Enumeration date
06/14/2016
Last updated
06/14/2016
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