Individual
DIANE ELIZABETH POTTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
32 RAVENS RD, HENRIETTA, NY 14467-9324
(585) 359-2843
Mailing address
32 RAVENS RD, HENRIETTA, NY 14467-9324
(585) 359-2843
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/12/2013
Last updated
03/12/2013
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