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Individual

AMANDA M ERWIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
376 MARKHAM DR, SLIDELL, LA 70458-5232
(985) 960-7080
Mailing address
409 DOCKSIDE DR, SLIDELL, LA 70461-1675
(985) 960-7080

Taxonomy

Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
194972
246ZS0410X
Surgical Technologist
131366
LA

Other

Enumeration date
07/30/2018
Last updated
01/28/2021
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