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Individual

MS. AMANDA LAUREN HALL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
198 THOMAS JOHNSON DR STE 19, FREDERICK, MD 21702-4453
(301) 228-0607
(301) 882-8228
Mailing address
9731 FLEETWOOD WAY, FREDERICK, MD 21701-7679
(240) 344-7717
(301) 882-8228

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN.0336299
CO

Other

Enumeration date
11/20/2025
Last updated
11/20/2025
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