Individual
AMANDA CARTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
2614 COLFAX LOOP APT B, HOLLOMAN AFB, NM 88330-7496
(815) 791-0995
Mailing address
2614 COLFAX LOOP APT B, HOLLOMAN AFB, NM 88330-7496
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
08/08/2014
Last updated
08/08/2014
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