Individual
BLANCA ROSA AMADOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
205 REDWOOD DR, COPPELL, TX 75019-5422
(972) 393-1114
Mailing address
PO BOX 2961, COPPELL, TX 75019-8900
(214) 762-8922
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
644281
TX
Other
Enumeration date
04/27/2020
Last updated
04/27/2020
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