Individual
AMANDA R SAPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
3510 STEELHAMMER DR, CENTRALIA, WA 98531-4551
(360) 623-8020
Mailing address
PO BOX 5095, LACEY, WA 98509-5095
(360) 413-7941
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA00010913
WA
Other
Enumeration date
08/30/2007
Last updated
07/20/2021
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