Individual
AMANDA PAULINE BRELAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
16006 NE 40TH ST, VANCOUVER, WA 98682-7468
(360) 984-7821
Mailing address
16006 NE 40TH ST, VANCOUVER, WA 98682-7468
(360) 984-7821
Taxonomy
Speciality
Code
Description
License number
State
1710I1003X
Independent Duty Medical Technicians
Primary
—
—
Other
Enumeration date
04/10/2023
Last updated
04/10/2023
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