Individual
AMANDA WEST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5071 BEAR PATH RD, MUNNSVILLE, NY 13409-4126
(315) 368-8377
Mailing address
5071 BEAR PATH RD, MUNNSVILLE, NY 13409-4126
(315) 368-8377
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
342602-01
NY
Other
Enumeration date
10/28/2024
Last updated
10/28/2024
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