Organization
A-MAE-ZING DESIGN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GLENNA MAE FOX BSN,RN (MEMBER)
(585) 797-4026
Entity
Organization
Contact information
Practice address
20 PHOENIX ST, CANANDAIGUA, NY 14424-2023
(585) 797-4026
Mailing address
20 PHOENIX ST, CANANDAIGUA, NY 14424-2023
(585) 797-4026
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1871188227
—
NY
Enumeration date
03/08/2021
Last updated
03/08/2021
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