Individual
AMY KATHRYN OMALLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
601 S SWIFT ST, WHITE DEER, TX 79097
(806) 663-9447
Mailing address
6300 W I 40, AMARILLO, TX 79106-2523
(806) 353-2700
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
305005
TX
Other
Enumeration date
02/23/2018
Last updated
02/23/2018
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