Individual
AMANDA L SUTHERLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
19995 E VIA DEL ORO, QUEEN CREEK, AZ 85142-4091
(415) 889-7818
Mailing address
19995 E VIA DEL ORO, QUEEN CREEK, AZ 85142-4091
(415) 889-7818
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/04/2021
Last updated
08/04/2021
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