Amanda Hatathlie

NPI #1700564507 in Polacca, Arizona

Provider Information

NPI Number
1700564507
Entity Type
Individual
Name
Amanda Hatathlie
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Technician, Other
Enumeration Date
Jul 11, 2023
Last Updated
Jul 11, 2023

Practice Location

Address
HIGHWAY 264 MILE POST 388
State
Arizona
ZIP Code
86042
Phone
(928) 737-6000

Specialties & Taxonomy Codes

Specialty
Technician, Other

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