Provider Information for 1265039358
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Mrs. MARIAH OKENWA MA
Sex: Female
NPI: 1265039358
Last Updated: 2025-02-25
Certification Date: 2025-02-25
Certification Date: 2025-02-25
Details
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NPI | 1265039358 | ||||||||
Enumeration Date | 2020-10-02 | ||||||||
NPI Type | NPI-1 Individual | ||||||||
Sole Proprietor | NO | ||||||||
Status | Active | ||||||||
Mailing Address | 266 ELMWOOD AVE STE 260 BUFFALO, NY 14222-2202 United States Phone: 716-336-0653 | Fax: | ||||||||
Primary Practice Address | 266 ELMWOOD AVE STE 260 BUFFALO, NY 14222-2202 United States Phone: 716-336-0653 | Fax: | ||||||||
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