AMANDA BENNETT

LAKELAND, FL
NPI1962867838
Former NameAMANDA BAYLESS
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy174400000X Specialist
(Licence: FL  AL3539)
Enumeration Date2015-12-21
Last Update Date2015-12-21
Business Address
-- AMANDA BENNETT ATC, LAT, PES, EMT-B
705 CENTRAL PARKE CIR APT 208
LAKELAND, FL 33805-9590
Phone number: 865-556-9589
Mailing Address
-- AMANDA BENNETT ATC, LAT, PES, EMT-B
705 CENTRAL PARKE CIR APT 208
LAKELAND, FL 33805-9590
Phone number: 865-556-9589