Individual
AMANDA BANCROFT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1020 TERRACE DR STE 100, MARION, VA 24354-4392
(267) 374-7551
Mailing address
1020 TERRACE DR STE 100, MARION, VA 24354-4392
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0618002893
VA
Other
Enumeration date
06/22/2020
Last updated
06/29/2020
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