Individual
MISS AMANDA MARIE SKEVAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
3561 LAFAYETTE RD, JAMESVILLE, NY 13078-9441
(315) 345-2637
Mailing address
3561 LAFAYETTE RD, JAMESVILLE, NY 13078-9441
(315) 345-2637
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
294598
NY
Other
Enumeration date
10/12/2009
Last updated
10/12/2009
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