Individual
AMANDA LEIGH GINCHEREAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
800 PRUDENTIAL DR, JACKSONVILLE, FL 32207-8202
(904) 202-8000
Mailing address
3010 JODECO RD, VALDOSTA, GA 31605-4708
(229) 977-1331
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
RN254821
GA
Other
Enumeration date
10/05/2021
Last updated
10/05/2021
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