Individual
ADEIA CHANTA HOLCOMB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
500 SENECA ST STE 610, BUFFALO, NY 14204-1963
(716) 881-2800
Mailing address
452 OLIVER ST APT 1, NORTH TONAWANDA, NY 14120-6961
(716) 553-6429
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
344658-01
NY
Other
Enumeration date
08/01/2023
Last updated
08/01/2023
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