Individual
MISS AMANDA RUTH ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.P
Contact information
Practice address
27500 102ND AVE NW STE 2, STANWOOD, WA 98292-8092
(360) 629-1044
Mailing address
8211 SPADA RD, SNOHOMISH, WA 98290-6125
(425) 502-2756
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
MA60305020
WA
Other
Enumeration date
08/09/2012
Last updated
08/09/2012
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