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Amanda Summerville
Student Health Clinic/Center in Sparks, Nevada
NPI 1043972169

Amanda Summerville is a Student Health Clinic/Center based in Sparks, NV and is specialized in Student Health. Amanda Summerville practices in Sparks, NV. The NPI Number for Amanda Summerville is 1043972169 and holds a License No. (Nevada).

The current practice location address for Amanda Summerville is 1963 E Prater Way Ste 101, Sparks, NV and can be reached out via phone at 775-636-6269.

Location: 1963 E Prater Way Ste 101, Sparks, NV, 89434-8938
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1043972169
Provider Name
Amanda Summerville
Credential
Provider Entity Type
Individual
Gender
Female
Address
1963 E Prater Way Ste 101, Sparks, NV, 89434-8938
Phone Number
775-636-6269
Fax Number
Provider Enumeration Date
10/06/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1963 E Prater Way Ste 101
City
Sparks
State
Nevada
Zip
89434-8938
Phone Number
775-636-6269
Fax Number
person
Provider Business Mailing Address Details
Address
1963 E Prater Way Ste 101
City
Sparks
State
Nevada
Zip
89434-8938
Phone Number
775-636-6269
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Student Health
Taxonomy
261QS1000X
License No.
()
Definition
Definition to come...
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