Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 124Q00000X | Dental Hygienist | DH24084 | FL |
NPI | 1033880083 |
---|---|
Provider Name | Mrs. Amanda E Wright |
First Address | Naples, FL 34113-8431 |
Second Address | Naples, FL 34113-8431 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/09/2021 |
Last Update Date | 21/09/2021 |