Individual
ADRIENNE AMANDA HASKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RSA/RPA
Contact information
Practice address
1571 WASHINGTON ST STE 101, WATERTOWN, NY 13601-9304
(315) 786-5000
Mailing address
1571 WASHINGTON ST STE 101, WATERTOWN, NY 13601-9304
Taxonomy
Speciality
Code
Description
License number
State
243U00000X
Radiology Practitioner Assistant
Primary
13OK1472
OK
Other
Enumeration date
12/06/2016
Last updated
04/11/2017
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