Individual
JESSICA MAZIAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10401 BENNETT RD, FREDONIA, NY 14063-1402
(716) 672-2061
Mailing address
131 ENTERPRISE RD, JOHNSTOWN, NY 12095-3326
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
14000034320
NY
Other
Enumeration date
09/28/2012
Last updated
09/28/2012
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