Individual
AMANDA CATHLEEN CLEMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
602 N 39TH AVE STE 200, YAKIMA, WA 98902-6398
(877) 522-1275
(833) 888-7145
Mailing address
2601 TULANE AVE, SUITE 500, NEW ORLEANS, LA 70119-4100
(504) 821-2601
(504) 267-3014
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
301776
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2449621
—
LA
Enumeration date
06/27/2014
Last updated
11/12/2024
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