Individual
AMANDA RANDALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
12007 E MAIN ST, WOLCOTT, NY 14590-1021
(315) 905-4077
(315) 905-4102
Mailing address
12007 E MAIN ST, WOLCOTT, NY 14590-1021
(315) 905-4077
(315) 905-4102
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
012484
NY
Other
Enumeration date
02/26/2014
Last updated
05/11/2023
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