Individual
MRS. BOBBI RENEE HUMPHREY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1205 WALDEN AVE, CHEEKTOWAGA, NY 14211-2831
(716) 936-9118
Mailing address
1205 WALDEN AVE, CHEEKTOWAGA, NY 14211-2831
(716) 936-9118
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
647168
NY
Other
Enumeration date
01/04/2019
Last updated
01/04/2019
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