Amanda Hatathlie
Amanda Hatathlie is an Other Technician in Polacca, Arizona. Licensed in Arizona. Registered with an NPI since 2023.
- Licensed in
- AZ
- In the registry since
- 2023
Practice location Address checks out
Highway 264 Mile Post 388Polacca, AZ 86042
Phone: (928) 737-6000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Other Technician (primary) | Taxonomy 247200000X · Licence 2517199 (AZ) |
|---|
Record details
| NPI number | 1700564507 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | July 11, 2023 |
| Last updated in NPPES | July 11, 2023 |
| Certification date | July 3, 2023 |
| Mailing address | Po Box 801, Polacca, AZ 86042-0801 |
Other providers in Polacca
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Erica Lalo
Hwy 264 MP388, Polacca, AZ 86042 · (928) 737-6000