Individual
AMANDA RENE COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11905 N GUINEVERE DR, SPOKANE, WA 99218-1715
(509) 863-6170
Mailing address
11905 N GUINEVERE DR, SPOKANE, WA 99218-1715
(509) 863-6170
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
08/05/2019
Last updated
08/05/2019
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