Individual
AMANDA LYNN VIAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
611 WILSON AVE STE 5, POCATELLO, ID 83201-5046
(208) 915-8448
Mailing address
1418 ELIZABETH CIR APT 2, IDAHO FALLS, ID 83404-5778
(208) 915-8448
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
ID
Other
Enumeration date
10/15/2025
Last updated
10/15/2025
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