Individual
AMANDA MAE TERRILLION
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
25059 WOOLWORTH ST, CARTHAGE, NY 13619-9592
(315) 493-5000
Mailing address
25059 WOOLWORTH ST, CARTHAGE, NY 13619-9592
(315) 493-5000
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
696431
NY
Other
Enumeration date
09/16/2020
Last updated
09/16/2020
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