Individual
MS. AMANDA E LA CHANCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN,BSN
Contact information
Practice address
4220 STATE ROUTE 417 W, WELLSVILLE, NY 14895-9332
(585) 593-6300
(585) 596-7071
Mailing address
4220 STATE ROUTE 417 W, WELLSVILLE, NY 14895-9332
(585) 593-6300
(585) 596-7071
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
22 565142
NY
Other
Enumeration date
10/21/2008
Last updated
10/21/2008
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