Individual
AMANDA SUTTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3100 KILPATRICK BLVD STE 102, MONROE, LA 71201-5156
(318) 325-8048
Mailing address
3100 KILPATRICK BLVD STE 102, MONROE, LA 71201-5156
(318) 325-8048
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
20120073
LA
Other
Enumeration date
08/09/2021
Last updated
08/09/2021
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