Individual
AMY BETH JANESE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4403 E LAKE RD, WILSON, NY 14172-9641
(716) 751-9189
Mailing address
3927 LOCKPORT RD, SANBORN, NY 14132-9407
(716) 998-8537
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
12/06/2022
Last updated
12/06/2022
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