AMANDA SULLIVAN

LIBERTY, NY
NPI1912291436
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: NY  286438)
Enumeration Date2011-06-01
Last Update Date2011-06-01
Business Address
-- AMANDA SULLIVAN L.P.N.
364 LAKE MARIE RD
LIBERTY, NY 12754-2924
Phone number: 845-866-1667
Mailing Address
-- AMANDA SULLIVAN L.P.N.
364 LAKE MARIE RD
LIBERTY, NY 12754-2924
Phone number: 845-866-1667