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Individual

JAELA ELVERA AGNELLO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.C.

Contact information

Practice address
1276 FRENCH RD, DEPEW, NY 14043-4882
(716) 668-3072
Mailing address
400 INTERNATIONAL DR, WILLIAMSVILLE, NY 14221-5771
(716) 947-0139

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X012887-1
NY

Other

Enumeration date
01/03/2017
Last updated
08/19/2019
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