Individual
AMANDA C CONNOLLY-SPOON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
139 CREIGHTON LN, ROCHESTER, NY 14612-2236
(585) 993-0452
Mailing address
139 CREIGHTON LN, ROCHESTER, NY 14612-2236
(585) 993-0452
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
317394
NY
Other
Enumeration date
04/08/2014
Last updated
11/30/2021
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