Individual
MRS. AMANDA LEAH HEARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
5112 STAGE RD STE 4, MEMPHIS, TN 38134-3160
(901) 372-7906
Mailing address
3210 FALLING STAR CV, BARTLETT, TN 38134-1801
(901) 337-3370
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
6220
TN
Other
Enumeration date
12/06/2024
Last updated
12/06/2024
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