Individual
AMANDA WYLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
405 WALDEN RD, LAWRENCEBURG, TN 38464-3075
(715) 222-1794
Mailing address
405 WALDEN RD, LAWRENCEBURG, TN 38464-3075
(715) 222-1794
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
—
—
Other
Enumeration date
04/06/2021
Last updated
04/06/2021
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