Individual
MS. CAROLYN HOLLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
346 DELAWARE AVE, BUFFALO, NY 14202-1804
(716) 856-7500
Mailing address
3565 SALISBURY AVE, BLASDELL, NY 14219-2413
(716) 824-1004
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
054249-1
NY
Other
Enumeration date
03/09/2010
Last updated
03/09/2010
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