Individual
AMANDA MARIE SPRUILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1605 SW 35TH AVE, AMARILLO, TX 79109-4911
(806) 290-7279
Mailing address
1605 SW 35TH AVE, AMARILLO, TX 79109-4911
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
308753
TX
Other
Enumeration date
10/22/2018
Last updated
10/22/2018
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