Amanda Brunner

NPI #1366053043 in Jacksonville, Alabama

Provider Information

NPI Number: 1366053043
Entity Type: Individual
Name: Amanda Brunner
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Aug 14, 2020
Last Updated: Aug 14, 2020

Practice Location

Address: 404 HENRY RD SW
City: Jacksonville
State: Alabama
ZIP Code: 36265-3338
Phone: (706) 263-3566

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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