Russell Mongiovi

NPI #1922337674 in Depew, New York

Provider Information

NPI Number
1922337674
Entity Type
Individual
Name
Russell Mongiovi
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Licensed Practical Nurse
Enumeration Date
Dec 9, 2009
Last Updated
Dec 9, 2009

Practice Location

Address
98 LOU ANN DR
City
Depew
ZIP Code
14043-1212
Phone
(716) 601-7720

Specialties & Taxonomy Codes

Specialty
Licensed Practical Nurse

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