Individual
AMANDA E GREENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
100 DAWSON DR, WINCHESTER, VA 22602-5307
(800) 817-3807
Mailing address
510 BUTLER AVE, MARTINSBURG, WV 25405-9990
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
117670
AK
Other
Enumeration date
02/26/2024
Last updated
02/26/2024
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