Individual
AMANDA N PENTIAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10299 WOODMAN RD, GLEN ALLEN, VA 23060-4419
(804) 727-8500
(804) 727-8580
Mailing address
10299 WOODMAN RD, GLEN ALLEN, VA 23060-4419
(804) 727-8500
(804) 727-8580
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
0805002593
VA
Other
Enumeration date
11/05/2024
Last updated
11/05/2024
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