Individual
AMANDA NOLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
393 NORTH ST, SPRINGVILLE, NY 14141-9652
(716) 592-9331
Mailing address
393 NORTH ST, SPRINGVILLE, NY 14141-9652
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
783435131
NY
Other
Enumeration date
05/22/2015
Last updated
05/22/2015
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