Individual
MRS. SANDRA M PENNELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
25 CHATEAU TER, AMHERST, NY 14226-3927
(716) 839-1655
(716) 839-1656
Mailing address
25 CHATEAU TER, AMHERST, NY 14226-3927
(716) 839-1655
(716) 839-1656
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
505155
NY
163WS0200X
School Registered Nurse
Primary
505155
NY
Other
Enumeration date
10/14/2010
Last updated
10/14/2010
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