Individual
MISS AMANDA BETH MRZYGUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
EMT-B
Contact information
Practice address
269 MAPLEVIEW DR, TONAWANDA, NY 14150
(716) 345-4435
Mailing address
269 MAPLEVIEW DR, TONAWANDA, NY 14150-7868
(716) 345-4435
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
Primary
453794
NY
Other
Enumeration date
07/28/2017
Last updated
07/21/2022
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