Individual
AMBER L LATRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
31 SIXTH STREET, MALONE, NY 12953
(518) 483-8980
Mailing address
31 6TH ST, MALONE, NY 12953-1246
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
335599
NY
164X00000X
Licensed Vocational Nurse
Primary
335599
NY
Other
Enumeration date
01/12/2022
Last updated
01/12/2022
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