Individual provider · Type 1 NPI

Amanda Hatathlie

Other Technician · Polacca, AZ

NPI number 1700564507 Active

Practice location

Highway 264 Mile Post 388
Polacca, AZ 86042

Call (928) 737-6000 Map

Mailing address

PO Box 801
Polacca, AZ 86042-0801

Specialties and licenses

TaxonomyCodeLicense
Other Technician Primary 247200000X2517199 (AZ)

Other Technician: A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user.

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About NPI 1700564507

Amanda Hatathlie's National Provider Identifier is 1700564507, issued on Jul 11, 2023. The primary taxonomy on file is Other Technician (247200000X), and the practice location is in Polacca, AZ. The record was last updated on Jul 11, 2023.