AMANDA R SELF

FPO, AP
NPI1669548673
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy208D00000X General Practice
(Licence: IN  01062935A)
Enumeration Date2006-11-28
Last Update Date2008-04-20
Business Address
DR. AMANDA R SELF M.D.
7TH COMM BN HQ CO BAS UNIT 35610
FPO, AP 96606-5610
Phone number: 318-402-0604
Mailing Address
DR. AMANDA R SELF M.D.
3944 HIGHWAY 175
FRIERSON, LA 71027-2159
Phone number: 318-402-0604
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