Individual
AMANDA LEIGH BURKHARDT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
183 HOPSON RD, BOWIE, TX 76230
(940) 577-9269
Mailing address
PO BOX 182, BOWIE, TX 76230-0182
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
192590
TX
Other
Enumeration date
02/22/2018
Last updated
02/22/2018
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