Individual
NICOLE NOWASELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
83 YVONNE AVE, CHEEKTOWAGA, NY 14225-1133
(716) 903-1982
Mailing address
83 YVONNE AVE, CHEEKTOWAGA, NY 14225-1133
Taxonomy
Speciality
Code
Description
License number
State
156F00000X
Technician/Technologist
Primary
001916
NY
Other
Enumeration date
02/08/2018
Last updated
02/08/2018
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