Individual
MRS. AMANDA FAYE GARRETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
650 S PEARL ST, CRESTVIEW, FL 32539-4222
(850) 689-7417
(850) 689-7401
Mailing address
221 HOSPITAL DR NE, FORT WALTON BEACH, FL 32548-5066
(850) 833-9240
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN5171650
FL
Other
Enumeration date
10/25/2007
Last updated
10/25/2007
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