Individual
AMANDA BEALS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
475 E AND WEST RD, WEST SENECA, NY 14224-3931
(585) 727-3702
Mailing address
475 E AND WEST RD, WEST SENECA, NY 14224-3931
(585) 727-3702
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
332046
NY
Other
Enumeration date
08/12/2019
Last updated
08/12/2019
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