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Amanda Longan
NPI 1578931218 · on the registry since 2015 · sole proprietor
Practice
- Address
- 2236 Callanan St
Shelton, WA 98584 - Phone
- (360) 490-0498
Registry record
- Primary taxonomy
- 225700000X
225700000X
- Licence states on file
- WA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2015-09-11
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