Individual
AMANDA POTTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
12886 MAIN ST, ALDEN, NY 14004-1206
(716) 387-8384
Mailing address
12886 MAIN ST, ALDEN, NY 14004-1206
(716) 387-8384
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
338627-01
NY
Other
Enumeration date
03/20/2023
Last updated
11/08/2023
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