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Individual

AMANDA YOCUM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
5782 MAIN ST STE 1, WILLIAMSVILLE, NY 14221-8219
(716) 833-9000
Mailing address
118 LYDIA LN, BUFFALO, NY 14225-3635

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
N46082
NY
164W00000X
Licensed Practical Nurse
Primary
322018
NY

Other

Enumeration date
09/11/2018
Last updated
06/25/2026
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