Individual
TAMARA COBB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7492 SODUS CENTER RD, SODUS, NY 14551-9552
(585) 943-1186
Mailing address
7492 SODUS CENTER RD, SODUS, NY 14551-9552
(585) 943-1186
Taxonomy
Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
Primary
201484189
NY
Other
Enumeration date
05/10/2016
Last updated
05/10/2016
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