Individual
AMANDA BURGOYNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
139 TALKEETNA HTS PL, LONGVIEW, WA 98632-5920
(360) 560-5776
Mailing address
139 TALKEETNA HTS PL, LONGVIEW, WA 98632-5920
(360) 560-5776
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN00177504
WA
Other
Enumeration date
04/10/2014
Last updated
04/10/2014
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