Individual
AMANDA SANDERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
21 KINGSWOOD DR, CHEEKTOWAGA, NY 14225
(716) 417-7110
Mailing address
21 KINGSWOOD DR, CHEEKTOWAGA, NY 14225-2537
(716) 417-7110
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
267424-1
NY
Other
Enumeration date
05/04/2016
Last updated
05/04/2016
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