Individual
AMANDA VANSANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
435 S KINZER AVE, NEW HOLLAND, PA 17557-8706
(215) 828-6826
Mailing address
446 N READING RD, EPHRATA, PA 17522-9802
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA056458
PA
Other
Enumeration date
11/01/2013
Last updated
11/01/2013
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