Individual
AMANDA YETTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2063 HEMSTREET RD, EAST AURORA, NY 14052-9689
(716) 715-2055
Mailing address
2063 HEMSTREET RD, EAST AURORA, NY 14052-9689
(716) 715-2055
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
301705
NY
Other
Enumeration date
10/23/2012
Last updated
10/23/2012
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