Individual
BETHANY WRIGGLESWORTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2049 GEORGE URBAN BLVD, DEPEW, NY 14043-1823
(716) 901-8700
Mailing address
60 W ABBOTT GRV, ORCHARD PARK, NY 14127-2160
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
07/31/2019
Last updated
07/31/2019
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