CAMILLE ALEAH JIVIDEN

KENMORE, NY
NPI1407516990
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: NY  048271-01)
Enumeration Date2021-12-23
Last Update Date2023-04-19
Business Address
CAMILLE ALEAH JIVIDEN
3767 DELAWARE AVE
KENMORE, NY 14217-1040
Phone number: 716-874-6175
Mailing Address
CAMILLE ALEAH JIVIDEN
3767 DELAWARE AVE
KENMORE, NY 14217-1040
Phone number: 716-874-6175