Individual
AMANDA R OGLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
209 N 2ND ST, LITTLE RIVER ACADEMY, TX 76554-2615
(817) 458-1369
Mailing address
209 N 2ND ST, LITTLE RIVER ACADEMY, TX 76554-2615
(817) 458-1369
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
343356
TX
Other
Enumeration date
03/06/2020
Last updated
03/06/2020
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