Individual
AMANDA SIMPLER SELDOMRIDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
12191 AZALEA CT, WORTON, MD 21678-1470
(410) 708-7784
Mailing address
12191 AZALEA CT, WORTON, MD 21678-1470
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R209212
MD
Other
Enumeration date
09/11/2023
Last updated
09/11/2023
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