RUSSELL MONGIOVI

Licensed Practical Nurse

NPI: 1922337674Individual

Specialties, Licenses & Credentials

Licensed Practical NursePrimary

Licensed Practical Nurse

Code: 164W00000X

284056-1(NY)

Contact & Hours

Address: 98 LOU ANN DR
DEPEW, NY 14043
Phone: (716) 601-7720

Location

98 Lou Ann Dr

98 LOU ANN DR, DEPEW, NY

Quick Facts

NPI: 1922337674
Entity Type: Individual
Gender: Male
Medicare: Not confirmed
Specialties: 1
Locations: 1

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