Individual
AMANDA MARIE CHANDLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
4710 ROUTE 305, CUBA, NY 14727-9729
(585) 808-2013
Mailing address
4710 ROUTE 305, CUBA, NY 14727-9729
(585) 808-2013
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
311663
NY
Other
Enumeration date
05/11/2019
Last updated
05/11/2019
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