Individual
JENNIFER A AMANQUANOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
113 170TH ST S, SPANAWAY, WA 98387-8222
(509) 580-7981
Mailing address
9330 59TH AVE SW, LAKEWOOD, WA 98499-2858
(253) 620-5015
(253) 620-5140
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/26/2024
Last updated
07/29/2024
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