LARISSA FONVILLE

WILLIAMSVILLE, NY
NPI1154773893
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: NY  325606)
Enumeration Date2016-07-06
Last Update Date2016-07-06
Business Address
-- LARISSA FONVILLE LPN
2250 WEHRLE DR SUITE 1
WILLIAMSVILLE, NY 14221-7034
Phone number: 716-276-2123
Mailing Address
-- LARISSA FONVILLE LPN
2250 WEHRLE DR SUITE 1
WILLIAMSVILLE, NY 14221-7034
Phone number: 716-276-2123
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