AMANDA JEANNE GRANT

ASTORIA, OR
NPI1518739846
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: OR  10017884)
Enumeration Date2023-10-30
Last Update Date2023-10-30
Business Address
AMANDA JEANNE GRANT FNP
828 14TH ST
ASTORIA, OR 97103-3928
Phone number: 503-739-0619
Mailing Address
AMANDA JEANNE GRANT FNP
828 14TH ST
ASTORIA, OR 97103-3928
Phone number: 503-739-0619
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