Individual
DJUANA MUNN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NEW YORK LICENSED
Contact information
Practice address
1 N CAYUGA RD, WILLIAMSVILLE, NY 14221-5407
(716) 803-3964
Mailing address
167 HAMILTON DR, AMHERST, NY 14226-4740
(716) 803-3964
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
AEC-22-11134
NY
Other
Enumeration date
10/02/2023
Last updated
01/09/2024
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