Individual
AMANDA PEEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
116 W. THIRD STREET, MEDICAL LAKE, WA 99022
(509) 565-3145
Mailing address
116 W. THIRD STREET, MEDICAL LAKE, WA 99022
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP60573941
WA
Other
Enumeration date
11/05/2015
Last updated
11/05/2015
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