Individual
AMANDA HANELLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
320 23RD ST S APT 1120, ARLINGTON, VA 22202-3766
(571) 274-4023
Mailing address
320 23RD ST S APT 1120, ARLINGTON, VA 22202-3766
(571) 274-4023
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
02/14/2022
Last updated
02/14/2022
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