Individual
AMANDA E SAMPLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5 CUMLODEN DR, FALMOUTH, MA 02540-1605
(508) 524-2876
Mailing address
5 CUMLODEN DR, FALMOUTH, MA 02540-1605
(508) 524-2876
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/13/2010
Last updated
10/13/2010
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