AMANDA R PHELPS

SHREVEPORT, LA
NPI1629683230
Former NameAMANDA RENAE SIMMONS
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant Medical
(Licence: LA  324297)
Enumeration Date2020-09-10
Last Update Date2022-09-15
Business Address
MRS. AMANDA R PHELPS PA-C
3217 MABEL ST
SHREVEPORT, LA 71103-4022
Phone number: 318-631-9121
Mailing Address
MRS. AMANDA R PHELPS PA-C
3217 MABEL ST
SHREVEPORT, LA 71103-4022
Phone number: 318-631-9121
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