Individual
MICHELLE WRIGHT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
4565 CLARK ST, HAMBURG, NY 14075-3911
(716) 440-8917
Mailing address
264 CURLEY DR, ORCHARD PARK, NY 14127-3448
(716) 667-2583
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
025678
NY
Other
Enumeration date
06/15/2012
Last updated
06/15/2012
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