Individual
AMANDA BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
62 UTICA ST, CLINTON, NY 13323-1528
(315) 825-5503
Mailing address
62 UTICA ST, CLINTON, NY 13323-1528
(315) 825-5503
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
712344-1
NY
Other
Enumeration date
11/13/2018
Last updated
11/13/2018
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