MISS Lacey Blue Mohar, DC

NPI #1457683989 in Depew, New York

Provider Information

NPI Number
1457683989
Entity Type
Individual
Name
MISS Lacey Blue Mohar, DC
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Student in an Organized Health Care Education/Training Program
Credential
DC
Enumeration Date
Feb 9, 2010
Last Updated
Feb 9, 2010

Practice Location

Address
1049 BORDEN RD
City
Depew
ZIP Code
14043-4604
Phone
(315) 283-4621

Specialties & Taxonomy Codes

Specialty
Student in an Organized Health Care Education/Training Program

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