AMANDA MADRID

STANSBURY PARK, UT
NPI1164971560
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: UT  10097228-1206)
Enumeration Date2016-09-26
Last Update Date2021-11-18
Business Address
Ms. AMANDA MADRID PA-C
220 MILLPOND
STANSBURY PARK, UT 84074-9745
Phone number: 435-843-3096
Mailing Address
Ms. AMANDA MADRID PA-C
1603 W BRIGADOON PARK DR
WEST JORDAN, UT 84088-6598
Phone number: 801-647-9278
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