Individual
MRS. COLLEEN DAGON AMIDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
134 SENECA ST, HORNELL, NY 14843-1324
(607) 324-1303
(607) 324-5325
Mailing address
134 SENECA ST, HORNELL, NY 14843-1324
(607) 324-1303
(607) 324-5325
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
637661
NY
Other
Enumeration date
09/15/2020
Last updated
09/15/2020
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