RUSSELL PELTON

CHEEKTOWAGA, NY
NPI1295021046
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy163W00000X Registered Nurse
(Licence: NY  360949)
Enumeration Date2011-06-21
Last Update Date2011-06-21
Business Address
RUSSELL PELTON
3409 GENESEE ST
CHEEKTOWAGA, NY 14225-5051
Phone number: 716-855-2273
Mailing Address
RUSSELL PELTON
3409 GENESEE ST
CHEEKTOWAGA, NY 14225-5051
Phone number: