Individual
AMANDA LYNN MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3400 SPRUCE ST, 2 DULLES, PHILADELPHIA, PA 19104-4238
(215) 662-7320
Mailing address
3400 SPRUCE ST, 2 DULLES, PHILADELPHIA, PA 19104-4238
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA058753
PA
Other
Enumeration date
11/10/2016
Last updated
11/10/2016
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