Individual
MS. KAYLA ELIZABETH DETH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPH, BA
Contact information
Practice address
1050 NIAGARA ST, BUFFALO, NY 14213-2007
(716) 884-0700
(716) 884-0631
Mailing address
1050 NIAGARA ST, BUFFALO, NY 14213-2007
(716) 884-0700
(716) 884-0631
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
09/03/2018
Last updated
09/03/2018
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