Individual
AMANDA MEDLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
391 EASTMAN RD, WAHIAWA, HI 96786-4166
(214) 662-5277
Mailing address
391 EASTMAN RD, WAHIAWA, HI 96786-4166
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
91024
HI
Other
Enumeration date
04/26/2019
Last updated
04/26/2019
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