Individual
SUZANNE MARIE DESFOSSES-GILLIAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2813 WEHRLE DR STE 8, WILLIAMSVILLE, NY 14221-7384
(716) 898-8566
(585) 466-8041
Mailing address
2813 EAST SHELBY ROAD, OAKFIELD, NY 14125
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
11/13/2017
Last updated
11/13/2017
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