Individual
AMANDA SMITH CLARY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CFM
Contact information
Practice address
253 RUIN CREEK RD, HENDERSON, NC 27536-5916
(252) 492-3404
(252) 430-0670
Mailing address
253 RUIN CREEK RD, HENDERSON, NC 27536-5916
(252) 492-3404
(252) 430-0670
Taxonomy
Speciality
Code
Description
License number
State
224900000X
Mastectomy Fitter
Primary
CFM03091
NC
Other
Enumeration date
02/11/2017
Last updated
02/11/2017
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