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Individual

MISS LATASHIA STACHURA-LEE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
612 23RD ST, NIAGARA FALLS, NY 14301-2504
(716) 377-3687
Mailing address
612 23RD ST, NIAGARA FALLS, NY 14301-2504
(716) 377-3687

Taxonomy

Speciality
Code
Description
License number
State
344600000X
Taxi
Primary
336106651
NY

Other

Enumeration date
06/29/2018
Last updated
06/29/2018
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