Individual
MRS. BRYANNA MARIA BALA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
123 SOUTHRIDGE DR, WEST SENECA, NY 14224-4463
(716) 380-5783
Mailing address
123 SOUTHRIDGE DR, WEST SENECA, NY 14224-4463
(716) 380-5783
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
684466
NY
Other
Enumeration date
02/02/2024
Last updated
02/02/2024
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