Amanda Caroline Ivy
NPI #1255584207 in West Point, Mississippi
Provider Information
- NPI Number
- 1255584207
- Entity Type
- Individual
- Name
- Amanda Caroline Ivy
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Nurse's Aide
- Enumeration Date
- Nov 3, 2008
- Last Updated
- May 28, 2009
Practice Location
- Address
- 1804 DOUGHTY CIR
- City
- West Point
- State
- Mississippi
- ZIP Code
- 39773-4041
- Phone
- (662) 495-1120
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse's Aide |
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