Individual
AMANDA SCOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6738 138TH AVE NE APT 620, REDMOND, WA 98052-9563
(808) 347-6589
Mailing address
6738 138TH AVE NE APT 620, REDMOND, WA 98052-9563
(808) 347-6589
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
MA60632443
WA
Other
Enumeration date
02/16/2016
Last updated
02/16/2016
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