MADORA DEON MOGENSEN

SYRACUSE, NY
NPI1265042824
Former NameMADORA DEON WATERS
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy176B00000X Midwife
(Licence: NY  F001985)
Enumeration Date2020-08-07
Last Update Date2020-08-07
Business Address
MADORA DEON MOGENSEN CNM
600 E GENESEE ST STE 323
SYRACUSE, NY 13202-3108
Phone number: 315-426-1100
Mailing Address
MADORA DEON MOGENSEN CNM
600 E GENESEE ST STE 323
SYRACUSE, NY 13202-3108
Phone number: 315-426-1100