Individual
MRS. KRISTA M LANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3490 BETHFORD DRIVE, BLASDELL, NY 14219
(716) 748-9102
Mailing address
3490 BETHFORD DRIVE, BLASDELL, NY 14219
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
606392
NY
Other
Enumeration date
01/25/2012
Last updated
01/25/2012
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