Individual
AMANDA LYNN DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1120 HANCOCK ST, QUINCY, MA 02169-4313
(617) 471-8400
Mailing address
9232 AVALON DR, WEYMOUTH, MA 02188-4638
(857) 247-0383
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
09/02/2025
Last updated
09/02/2025
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