Individual
AMANDA LOGAN BEHRENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4108 EDINBURGH DR, VIRGINIA BEACH, VA 23452-2514
(757) 685-2680
Mailing address
4108 EDINBURGH DR, VIRGINIA BEACH, VA 23452-2514
(757) 685-2680
Taxonomy
Speciality
Code
Description
License number
State
171WH0202X
Home Modifications Contractor
Primary
2705139458
VA
Other
Enumeration date
12/11/2012
Last updated
12/11/2012
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