Individual
MRS. BRENDA KAY WOLCOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
140 MALL BLVD, LAKEWOOD, NY 14750-2014
(716) 763-9070
(716) 763-3580
Mailing address
4635 UNION RD, CHEEKTOWAGA, NY 14225-1851
(716) 505-5700
(716) 633-9531
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
06/11/2012
Last updated
06/11/2012
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