Individual
AMANDA O'CONNOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2807 HALVERSON AVE, BREMERTON, WA 98310-3412
(206) 602-0238
Mailing address
2807 HALVERSON AVE, BREMERTON, WA 98310-3412
(206) 602-0238
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
NC 60398777
WA
Other
Enumeration date
01/25/2016
Last updated
01/25/2016
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