Individual
MRS. AMY B MANGUAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
49 LAWRENCE AVE, POTSDAM, NY 13676-1889
(315) 265-2000
(315) 265-5458
Mailing address
29 LEROY ST, POTSDAM, NY 13676-1787
(315) 265-2000
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
412073
NY
Other
Enumeration date
11/25/2013
Last updated
11/25/2013
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