Individual
SUSAN MINKIEWICZ GUGLIUZZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RNC, MS
Contact information
Practice address
5105 WILLOWBROOK DR W, CLARENCE, NY 14031-1488
(716) 741-0177
(716) 741-0177
Mailing address
5105 WILLOWBROOK DR W, CLARENCE, NY 14031-1488
(716) 741-0177
(716) 741-0177
Taxonomy
Speciality
Code
Description
License number
State
163WN1003X
Nutrition Support Registered Nurse
Primary
391419-1
NY
Other
Enumeration date
03/09/2010
Last updated
03/09/2010
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