Individual
AMANDA LYN PAULSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CST
Contact information
Practice address
3900 CAPITOL MALL DR SW, OLYMPIA, WA 98502-8654
(360) 754-5858
Mailing address
1675 MOTTMAN RD SW, #205, TUMWATER, WA 98512-7833
(906) 395-0646
Taxonomy
Speciality
Code
Description
License number
State
246ZS0410X
Surgical Technologist
90971
MI
246ZS0410X
Surgical Technologist
Primary
ST00003548
WA
Other
Enumeration date
05/10/2007
Last updated
07/08/2007
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