Individual
AMANDA LADNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
83 WHITE CHAPEL RD, CARRIERE, MS 39426-7473
(699) 262-5967
Mailing address
83 WHITE CHAPEL RD, CARRIERE, MS 39426-7473
(699) 262-5967
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
323736
MS
Other
Enumeration date
01/05/2021
Last updated
01/05/2021
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