Individual
MRS. MICHELLE LYLA VANDEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
215 WYOMING ST, SYRACUSE, NY 13204-2927
(315) 200-6080
Mailing address
9 KING ST, HOMER, NY 13077-1011
(607) 423-9875
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
NY
Other
Enumeration date
02/04/2019
Last updated
02/04/2019
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