AMANDA MORGAN FREEMAN

ESPANOLA, NM
NPI1427329077
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: NM  PA2024-0048)
Enumeration Date2012-01-13
Last Update Date2024-07-03
Business Address
Mrs. AMANDA MORGAN FREEMAN PA-C
1010 SPRUCE ST 2ND FL AREA 3
ESPANOLA, NM 87532-2724
Phone number: 505-367-0340
Mailing Address
Mrs. AMANDA MORGAN FREEMAN PA-C
PO BOX 26666 PHS PROVIDER ENROLLMENT
ALBUQUERQUE, NM 87125-6666
Phone number: 505-367-0340