AMANDA KATLIN REID

FAYETTEVILLE, AR
NPI1295158913
Former NameAMANDA KATLIN DAVIS
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: AR  PA-993)
Additional Taxonomies207X00000X Orthopaedic Surgery
(Licence: AR  PA-993)
363A00000X Physician Assistant
(Licence: CA  PA51724)
Enumeration Date2014-01-31
Last Update Date2024-04-01
Business Address
AMANDA KATLIN REID PA
3317 N WIMBERLY DR
FAYETTEVILLE, AR 72703-4056
Phone number: 479-521-2752
Mailing Address
AMANDA KATLIN REID PA
PO BOX 800902
SANTA CLARITA, CA 91380-0902
Phone number: 417-291-2816