AMANDA VANDER WOUDE

DOTHAN, AL
NPI1437881059
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: AL  PA.2281)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2022-06-30
Last Update Date2024-01-11
Business Address
AMANDA VANDER WOUDE
1108 ROSS CLARK CIR
DOTHAN, AL 36301-3022
Phone number: 334-793-8111
Mailing Address
AMANDA VANDER WOUDE
10 FERGUSON LN
FORT NOVOSEL, AL 36362-2414
Phone number: 208-249-2708