Individual
AMANDA MARIE BRYANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA/ HOMECARE GIVER
Contact information
Practice address
804 E CEDAR ST, LE ROY, IL 61752-1809
(309) 830-6795
Mailing address
405 E WASHINGTON ST, LE ROY, IL 61752-1567
(309) 830-6795
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
09/17/2024
Last updated
09/17/2024
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