Individual
AMANDA K STOCKMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1709 GRASSY VIEW DR, FORT WORTH, TX 76177-7555
(817) 808-5876
Mailing address
1709 GRASSY VIEW DR, FORT WORTH, TX 76177-7555
(817) 808-5876
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
738453
TX
Other
Enumeration date
11/10/2008
Last updated
11/10/2008
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