Individual
JORDAN YAMONACO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
262 WOODWARD AVE, KENMORE, NY 14217-1539
(716) 566-7771
Mailing address
262 WOODWARD AVE, KENMORE, NY 14217-1539
(716) 566-7771
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
11/02/2019
Last updated
11/02/2019
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