Individual
THERESA WOJTECZEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
24 COCHRANE ST, BUFFALO, NY 14206-3316
(716) 474-3428
Mailing address
24 COCHRANE ST, BUFFALO, NY 14206-3316
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
08/19/2008
Last updated
08/19/2008
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