Andrea Dufort
Student in an Organized Health Care Education/Training Program in Buffalo, NY. Individual provider (NPI-1).
NPI number1124297643
StatusActive
Last updated in NPPESFeb 28, 2008
Details
- NPI
- 1124297643
- Entity type
- Individual (NPI-1)
- Name
- Andrea Dufort
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Feb 28, 2008
- Last updated
- Feb 28, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | NY | Yes |
Practice location
4154 Foxwood LnBuffalo, NY 14221-7356
Phone 617-848-0417
Mailing address
4154 Foxwood LnBuffalo, NY 14221-7356
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