Individual
AMANDA AMOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BA
Contact information
Practice address
2103 COUNTY ROAD D E STE B, MAPLEWOOD, MN 55109-5358
(651) 748-5019
Mailing address
1907 EUSTIS ST, LAUDERDALE, MN 55113-5105
(651) 231-3782
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/05/2020
Last updated
06/05/2020
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