Individual
AMANDA HOTALING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1131 ROUTE 14A, PENN YAN, NY 14527-9181
(315) 759-8097
Mailing address
1131 ROUTE 14A, PENN YAN, NY 14527-9181
(315) 759-8097
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
10 288145
NY
Other
Enumeration date
09/09/2015
Last updated
09/09/2015
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