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Individual

AMANDA MICHAUD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
5360 BLACKSBURG RD, CATAWBA, VA 24070-2306
(508) 446-6570
Mailing address
5360 BLACKSBURG RD, CATAWBA, VA 24070-2306
(508) 446-6570

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
0002099904
MA

Other

Enumeration date
10/04/2021
Last updated
10/04/2021
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