VICKY DIANN WIDEMAN

BUFFALO, NY
NPI1932280203
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy302R00000X Health Maintenance Organization
(Licence: NY  101YA0400X)
Enumeration Date2006-10-17
Last Update Date2007-07-08
Business Address
-- VICKY DIANN WIDEMAN
3020 BAILEY AVE
BUFFALO, NY 14215-2814
Phone number: 716-833-3622
Mailing Address
-- VICKY DIANN WIDEMAN
3020 BAILEY AVE
BUFFALO, NY 14215-2814
Phone number: 716-833-3622
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