| NPI | 1760567234 |
|---|---|
| Former Name | AMELIA MANALANSAN DURAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA12435) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: GA 1045717) |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2023-06-28 |