Individual
AMANDA L FREDETTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
600 SPRAGUE RD, MEMPHIS, NY 13112-9743
(315) 480-3891
Mailing address
600 SPRAGUE RD, MEMPHIS, NY 13112-9743
Taxonomy
Speciality
Code
Description
License number
State
163WI0500X
Infusion Therapy Registered Nurse
Primary
494249
NY
Other
Enumeration date
07/11/2018
Last updated
07/11/2018
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