Amanda Ryan

NPI #1114300332 in Green Bay, Wisconsin

Provider Information

NPI Number
1114300332
Entity Type
Individual
Name
Amanda Ryan
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Clinic/Center - VA
Enumeration Date
Jul 7, 2015
Last Updated
Jul 7, 2015

Practice Location

Address
2851 UNIVERSITY AVE
ZIP Code
54311-5855
Phone
(716) 440-4117

Specialties & Taxonomy Codes

Specialty
Clinic/Center - VAVA

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