JOHNETHEN TRAVIS SPICER

BUFFALO, NY
NPI1285461434
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2024-09-19
Last Update Date2024-09-19
Business Address
JOHNETHEN TRAVIS SPICER
1050 NIAGARA ST
BUFFALO, NY 14213-2001
Phone number: 716-856-2587
Mailing Address
JOHNETHEN TRAVIS SPICER
1050 NIAGARA ST
BUFFALO, NY 14213-2001
Phone number: