Individual
AMANDA RENEA DURAZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
930 CHESTNUT RIDGE RD, MORGANTOWN, WV 26505-2807
(304) 293-5323
Mailing address
1408 CARDIFF LN, HIGH POINT, NC 27265-9105
(714) 713-6848
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/23/2020
Last updated
03/23/2020
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