Individual
DEONNA DENISE BURNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
73 CONCORD DR, BUFFALO, NY 14215-1905
(716) 579-2180
Mailing address
73 CONCORD DR, BUFFALO, NY 14215-1905
(716) 579-2180
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
329981
NY
Other
Enumeration date
05/27/2021
Last updated
05/27/2021
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