Individual
AMANDA LYNN WALTERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
234 WAKE ST, FREDERICK, CO 80530-8064
(330) 701-9981
Mailing address
234 WAKE ST, FREDERICK, CO 80530-8064
(330) 701-9981
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
—
Other
Enumeration date
01/12/2024
Last updated
01/12/2024
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