Individual
AMANDA GABRIELLE KINGSBURY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CAREGIVER
Contact information
Practice address
114 BILBO CIR, DERIDDER, LA 70634-7919
(337) 563-5315
Mailing address
114 BILBO CIRCLE, SAME, DERIDDER, LOUISIANA, LA 70634
(337) 563-5315
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
LA
Other
Enumeration date
06/14/2024
Last updated
06/18/2024
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