Individual
AMANDA AITKEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCP
Contact information
Practice address
6528 TAYLORCREST DR, AUSTIN, TX 78749-3466
(662) 352-1971
Mailing address
6528 TAYLORCREST DR, AUSTIN, TX 78749-3466
(662) 352-1971
Taxonomy
Speciality
Code
Description
License number
State
242T00000X
Perfusionist
Primary
FPF02000131
TX
Other
Enumeration date
08/24/2022
Last updated
08/24/2022
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