Individual
AMANDA CRYSTAL WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMA
Contact information
Practice address
36 SW NYE ST, NEWPORT, OR 97365-3821
(154) 126-5046
Mailing address
36 SW NYE ST, NEWPORT, OR 97365-3821
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
1135949
OR
Other
Enumeration date
06/09/2023
Last updated
06/09/2023
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