IndividualActive
Amanda Gentry, IDC
NPI 1922055169 · Independent Duty Corpsman · Chesapeake, VA
Provider details
- NPI number
- 1922055169
- Entity type
- Individual
- Primary specialty
- Independent Duty CorpsmanOther Service Providers
- Credential
- IDC
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Other Service Providers
Practice location
100 Alfred Loop
Apt 201
Chesapeake, VA 23320-3059
Phone: (979) 256-9452
Approximate (ZIP-level) locationGet directions
Mailing address
2489 Fm 2187 Rd
Sealy, TX 77474-8438
Registry dates
- Enumerated
- 2006-05-30
- Last updated
- 2009-01-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.