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Individual

AMANDA JOSEPH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
18 MAYFLOWER DR, SCHENECTADY, NY 12306-3545
(518) 776-9188
Mailing address
18 MAYFLOWER DR, SCHENECTADY, NY 12306-3545
(518) 776-9188

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
338962
NY

Other

Enumeration date
02/01/2024
Last updated
02/01/2024
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