Individual
AMANDA JEAN WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
CORNER OF RTE 12 AND RTE 7, FORT DEFIANCE, AZ 86504
(928) 729-8000
Mailing address
2512 MOUNTAIN GATE LN SW, ALBUQUERQUE, NM 87121-4282
(505) 228-6340
Taxonomy
Speciality
Code
Description
License number
State
163WM0102X
Maternal Newborn Registered Nurse
Primary
76955
NM
Other
Enumeration date
12/21/2022
Last updated
12/21/2022
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