Individual
COURTNEY LEE DOMOWICZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RRT
Contact information
Practice address
3495 BAILEY AVE RM 806B, BUFFALO, NY 14215-1129
(716) 862-3110
Mailing address
3495 BAILEY AVE RM 806B, BUFFALO, NY 14215-1129
(716) 862-3110
Taxonomy
Speciality
Code
Description
License number
State
2279G1100X
General Care Registered Respiratory Therapist
Primary
007347
VA
Other
Enumeration date
12/01/2023
Last updated
12/01/2023
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