Individual
MRS. AMANDA BREEDEN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Contact information
Practice address
6651 DAVID DR S, THEODORE, AL 36582-6021
(251) 441-6725
(251) 441-6415
Mailing address
6651 DAVID DR S, THEODORE, AL 36582-6021
(251) 441-6725
(251) 441-6415
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
01/05/2006
Last updated
07/08/2007
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