Individual
AMBER RAE TAIMOURI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
650 STATE STREET, WATERTOWN, NY 13601
(315) 755-1251
Mailing address
8741 NY STATE RTE 12E, CHAUMONT, NY 13622
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
631930
NY
Other
Enumeration date
07/26/2023
Last updated
07/26/2023
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