Individual
MISS AMANDA VIAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
324 LYNNETTE DR, METAIRIE, LA 70003-6518
(504) 638-4291
Mailing address
324 LYNNETTE DR, METAIRIE, LA 70003-6518
(504) 638-4291
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
LA
Other
Enumeration date
10/12/2024
Last updated
10/16/2024
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