Individual
AMANDA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNIM
Contact information
Practice address
10275 LITTLE PATUXENT PKWY STE 300, COLUMBIA, MD 21044-3445
(410) 740-2370
(410) 740-2371
Mailing address
10275 LITTLE PATUXENT PKWY STE 300, COLUMBIA, MD 21044-3445
(410) 740-2370
(410) 740-2371
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
1639
TN
Other
Enumeration date
04/03/2020
Last updated
04/03/2020
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