Individual
MARYELLEN MORGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
161 BENZINGER ST, BUFFALO, NY 14206-1409
(716) 816-3266
Mailing address
161 BENZINGER ST, BUFFALO, NY 14206-1409
(716) 816-3266
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
456039
NY
Other
Enumeration date
11/07/2012
Last updated
11/07/2012
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