Individual
KRISTA MARIE MAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1175 PENORA ST, DEPEW, NY 14043-4505
(716) 939-0630
Mailing address
1175 PENORA ST, DEPEW, NY 14043-4505
(716) 939-0630
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
04/10/2017
Last updated
10/19/2020
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