Individual
AMANDA THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1227 COBURG RD APT 18, EUGENE, OR 97401-5444
(909) 630-1360
Mailing address
1227 COBURG RD APT 18, EUGENE, OR 97401-5444
(909) 630-1360
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
202100520LPN
OR
Other
Enumeration date
02/05/2021
Last updated
02/05/2021
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