Individual
AMANDA JOANN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
30 HUNTER LN, CAMP HILL, PA 17011-2499
(800) 748-3243
Mailing address
6193 ADAMSON DR, WATERFORD, MI 48329-3002
(248) 931-8124
Taxonomy
Speciality
Code
Description
License number
State
163WC2100X
Continence Care Registered Nurse
Primary
4704307697
MI
Other
Enumeration date
01/05/2022
Last updated
01/05/2022
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