Individual
AMANDA GUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.P.N.
Contact information
Practice address
37 DIETZ ST, ONEONTA, NY 13820-1862
(607) 432-2250
(607) 432-7206
Mailing address
37 DIETZ ST, ONEONTA, NY 13820-1862
(607) 432-2250
(607) 432-7206
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
285907-1
NY
Other
Enumeration date
03/21/2014
Last updated
03/21/2014
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