Individual
AMANDA DILLION RIOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
840 WALNUT ST, PHILADELPHIA, PA 19107-5109
(215) 928-3100
Mailing address
PO BOX 1123, JACKSON, MI 49204-1123
(800) 516-5315
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN654241
PA
Other
Enumeration date
10/05/2020
Last updated
10/05/2020
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