Individual
AMANDA CANTRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2250 HICKORY RD, PLYMOUTH MEETING, PA 19462-1047
(800) 879-4471
Mailing address
170 CHARLESTON WAY, TRUSSVILLE, AL 35173-1260
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1-105798
AL
Other
Enumeration date
01/29/2009
Last updated
01/29/2009
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