| NPI | 1588128565 |
|---|---|
| Former Name | AMANDA PATRICE GUESS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: MO 20150002145) |
| Enumeration Date | 2019-01-24 |
| Last Update Date | 2019-01-24 |