Individual
AMANDA M LILLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1103 WAGONER DR, WILMINGTON, DE 19805-1118
(302) 660-6912
Mailing address
1103 WAGONER DR, WILMINGTON, DE 19805-1118
(302) 660-6912
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
L1-0043551
DE
Other
Enumeration date
03/15/2016
Last updated
03/15/2016
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