Individual
MRS. AMY KATHERINE HIMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
429 DRY BRIDGE RD, MEXICO, NY 13114-3332
(315) 298-6332
Mailing address
429 DRY BRIDGE RD, MEXICO, NY 13114-3332
(315) 298-6332
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
181799-1
NY
Other
Enumeration date
04/11/2012
Last updated
04/11/2012
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