AMANDA RYAN

GREEN BAY, WI
NPI1114300332
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy261QV0200X Clinic/Center, VA
(Licence: NY  060491)
Enumeration Date2015-07-07
Last Update Date2015-07-07
Business Address
-- AMANDA RYAN
2851 UNIVERSITY AVE
GREEN BAY, WI 54311-5855
Phone number: 716-440-4117
Mailing Address
-- AMANDA RYAN
97 PROMENADE LN
WILLIAMSVILLE, NY 14221-1924
Phone number: 716-440-4117