Individual
MISS AMANDA CHAUNCEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPT
Contact information
Practice address
4500 W MIDWAY RD, FORT PIERCE, FL 34981-4823
(772) 672-8413
Mailing address
4500 W MIDWAY RD, FORT PIERCE, FL 34981-4823
(772) 672-8413
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
16244
FL
Other
Enumeration date
06/07/2012
Last updated
06/07/2012
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