Individual
MRS. AMANDA F SHAWGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
918 N READING RD, EPHRATA, PA 17522-9794
(717) 335-2338
Mailing address
239 BOOMERANG DR, EPHRATA, PA 17522-2442
(717) 715-4647
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
MSG003657
PA
Other
Enumeration date
02/02/2017
Last updated
02/02/2017
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