Individual
MRS. AMANDA SALAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
133 VALEMONT DR, EAGLE POINT, OR 97524-8652
(860) 601-2955
Mailing address
133 VALEMONT DR, EAGLE POINT, OR 97524-8652
(860) 601-2955
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
40997
CT
Other
Enumeration date
07/28/2026
Last updated
07/28/2026
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