Individual
MISS AMANDA JANINE BING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
13852 231ST ST, LAURELTON, NY 11413-2833
(347) 954-6795
Mailing address
13852 231ST ST, LAURELTON, NY 11413-2833
(347) 954-6795
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
313960
NY
Other
Enumeration date
05/09/2013
Last updated
05/09/2013
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