Amanda Wilson, LMP
NPI #1043341589 in Bonney Lake, Washington
Provider Information
- NPI Number
- 1043341589
- Entity Type
- Individual
- Name
- Amanda Wilson, LMP
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Specialist
- Credential
- LMP
- Enumeration Date
- Mar 8, 2007
- Last Updated
- Jan 3, 2012
Practice Location
- Address
- 19950 S PRAIRIE RD E
- City
- Bonney Lake
- State
- Washington
- ZIP Code
- 98391-7901
- Phone
- (253) 862-1555
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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