Individual
AMMANDA POWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
16 CHRISTOPHER CT APT 93, ROCHESTER, NY 14606-2933
(585) 285-1950
Mailing address
16 CHRISTOPHER CT APT 93, ROCHESTER, NY 14606-2933
(585) 285-1950
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
324094-1
NY
Other
Enumeration date
05/06/2016
Last updated
05/06/2016
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