Individual
MRS. AMANDA L CANNADY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, CLT
Contact information
Practice address
4901 LANG AVE NE, ALBUQUERQUE, NM 87109-4397
(505) 765-2370
Mailing address
7455 CARSON TRL NW, ALBUQUERQUE, NM 87120-4525
(505) 899-7653
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
2469
NM
Other
Enumeration date
04/25/2008
Last updated
04/25/2008
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