Individual
MISS AMANDA ARTHUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
35 NORTH WASHINGTON AVE, RONKONKOMA, NY 11779
(631) 942-8803
Mailing address
35 NORTH WASHINGTON AVENUE, RONKONKOMA, NY 11779
(631) 942-8803
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
320001
NY
Other
Enumeration date
10/21/2014
Last updated
10/21/2014
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