Individual
AMANDA M CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
933 RED APPLE RD, WENATCHEE, WA 98801
(509) 663-8711
Mailing address
820 N CHELAN AVE, WENATCHEE, WA 98801-2028
(509) 663-8711
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA60879833
WA
Other
Enumeration date
11/13/2017
Last updated
08/07/2018
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