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Individual

AMBER LYNN SLISKI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
L.P.N.

Contact information

Practice address
20 PINE ST APT 1, GENEVA, NY 14456-2519
(315) 521-1028
Mailing address
20 PINE ST APT 1, GENEVA, NY 14456-2519
(315) 521-1028

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
309143-1
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
309143-1
LPN
NY
Enumeration date
10/28/2014
Last updated
10/28/2014
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