Individual
MS. AMANDA RAJEAN FORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
630 N TRAFTON ST APT G, TACOMA, WA 98403-1012
(253) 304-0075
Mailing address
630 N TRAFTON ST APT G, TACOMA, WA 98403-1012
(253) 304-0075
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28271329A
IN
163W00000X
Registered Nurse
Primary
RN61261894
WA
164W00000X
Licensed Practical Nurse
LP60591525
WA
Other
Enumeration date
01/27/2021
Last updated
01/16/2022
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