Individual
AMANDA MARIE HUTTIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
214 TALON CT, TAYLORS, SC 29687-4258
(567) 242-3020
Mailing address
214 TALON CT, TAYLORS, SC 29687-4258
(567) 242-3020
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
246542
SC
Other
Enumeration date
05/06/2020
Last updated
05/06/2020
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