Individual
EDDYLEES GUZMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
262 WOODWARD AVE, KENMORE, NY 14217-1539
(716) 842-0440
Mailing address
262 WOODWARD AVE, KENMORE, NY 14217-1539
(716) 842-0440
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
10/12/2018
Last updated
10/12/2018
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