Individual
AMANDA OSBORNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
909 8TH ST STE 100, WICHITA FALLS, TX 76301-6818
(940) 761-9986
Mailing address
PO BOX 125, NOCONA, TX 76255-0125
(940) 867-5032
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
730019
TX
3747P1801X
Personal Care Attendant
—
—
Other
Enumeration date
09/26/2018
Last updated
10/02/2018
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