Individual
MISS AMANDA LEE GOODDING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
40 HENRIETTA BLVD, AMSTERDAM, NY 12010-1111
(518) 843-3003
Mailing address
166 KINGSBORO AVE UNIT 1, GLOVERSVILLE, NY 12078-1652
(518) 332-3191
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
278065
NY
Other
Enumeration date
07/24/2019
Last updated
07/24/2019
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