Individual
AMITA ISRAEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
602 W SEMANDS ST, CONROE, TX 77301-1867
(936) 249-2244
Mailing address
PO BOX 90, WILLIS, TX 77378-0090
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
869953
TX
Other
Enumeration date
06/18/2019
Last updated
06/18/2019
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