Individual
AMANDA HERBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12101 CAROL LN STE 101, FREDERICKSBURG, VA 22407-6101
(540) 418-6681
Mailing address
12101 CAROL LN STE 101, FREDERICKSBURG, VA 22407-6101
(540) 418-6681
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/30/2023
Last updated
03/30/2023
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