Individual
AMANDA JANE ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
303 E EVA ST, PHOENIX, AZ 85020-2526
(602) 870-6374
(602) 331-5730
Mailing address
303 E EVA ST, PHOENIX, AZ 85020-2526
(602) 870-6374
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN130950
AZ
Other
Enumeration date
04/13/2016
Last updated
04/13/2016
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