Individual
MS. AMANDA J WAYMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
5 EVANS ST APT 4, AUBURN, NY 13021-4162
(607) 591-3932
Mailing address
32 FITCH AVE, AUBURN, NY 13021-4708
(607) 591-3932
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
2299667
NY
Other
Enumeration date
12/11/2012
Last updated
09/06/2016
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