Individual
MRS. AMANDA MARIE GILLUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
HIS
Contact information
Practice address
1933 N CENTRAL EXPY STE 514, MCKINNEY, TX 75070-3685
(214) 491-6147
Mailing address
107 PARKER DR, SANGER, TX 76266-9417
(903) 574-4187
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
81108
TX
Other
Enumeration date
08/29/2024
Last updated
08/29/2024
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