Individual
AMANDA MICHELLE RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
50 CUMMINGS RD, LAKE PLACID, NY 12946-1508
(518) 523-2474
Mailing address
50 CUMMINGS RD, LAKE PLACID, NY 12946-1508
(518) 523-2474
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
659358-01
NY
Other
Enumeration date
07/25/2022
Last updated
07/25/2022
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