Individual
JEAN M VONGLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
50 BATAVIA CITY CTR, BATAVIA, NY 14020-2107
(716) 225-7136
Mailing address
50 BATAVIA CITY CTR, BATAVIA, NY 14020-2107
(716) 225-7136
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
10/27/2018
Last updated
10/27/2018
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