Individual
CHINASA MADUMERE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
51 ULLMAN ST, BUFFALO, NY 14207-1111
(716) 680-5181
Mailing address
51 ULLMAN ST, BUFFALO, NY 14207-1111
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
338328
NY
Other
Enumeration date
04/16/2024
Last updated
04/16/2024
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