Individual
AMANDA PELAYO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RMA
Contact information
Practice address
702 SUNSET DR, ONTARIO, OR 97914-3121
(208) 291-1020
(208) 452-5842
Mailing address
702 SUNSET DR, ONTARIO, OR 97914-3121
(208) 291-1020
(208) 452-5842
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
—
—
Other
Enumeration date
09/08/2016
Last updated
03/22/2017
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