Individual
AMANDA M WIERENGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2428 JENKS AVE, PANAMA CITY, FL 32405-4304
(850) 215-8397
Mailing address
5221 LONG JOHN DR, PANAMA CITY, FL 32408-6835
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
FL
Other
Enumeration date
08/20/2024
Last updated
08/20/2024
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