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Amanda Wilson, LMP
NPI 1043341589 · on the registry since 2007
Practice
- Address
- 19950 S Prairie Rd E
Bonney Lake, WA 98391 - Phone
- (253) 862-1555
- Fax
- (253) 862-1557
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- Specialist
174400000X
- Licence states on file
- WA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2012-01-03
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington