Individual
AMANDA REIVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
555 NORTH DUKE STREET, LANCASTER, PA 17602
(717) 544-5511
Mailing address
109 N ELM ST, ROBESONIA, PA 19551-1224
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA055817
PA
Other
Enumeration date
10/18/2012
Last updated
05/14/2015
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