Individual
AMY JOY BAGLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
245 EAST ST, HONEOYE FALLS, NY 14472-1253
(585) 317-8839
Mailing address
245 EAST ST, HONEOYE FALLS, NY 14472-1253
(585) 317-8839
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
330452
NY
Other
Enumeration date
02/21/2018
Last updated
02/21/2018
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