Individual
AMY ROUNTREE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
20505 DUPONT BLVD, GEORGETOWN, DE 19947-3173
(302) 856-1835
Mailing address
20505 DUPONT BLVD, GEORGETOWN, DE 19947-3173
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
L2-0012034
DE
Other
Enumeration date
09/22/2015
Last updated
09/22/2015
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