Individual
MRS. AMANDA RENEE KOCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1416 PENN AVE, WYOMISSING, PA 19610-2134
(610) 376-3936
(610) 372-0215
Mailing address
1416 PENN AVE, WYOMISSING, PA 19610-2134
(610) 376-3936
(610) 372-0215
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
09/10/2009
Last updated
10/26/2009
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