Individual
MRS. AMANDA GAYLE BOREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
301 W HAWKINS PKWY APT 107, LONGVIEW, TX 75605-1819
(903) 445-8430
Mailing address
301 W HAWKINS PKWY APT 107, LONGVIEW, TX 75605-1819
(903) 445-8430
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
853645
TX
Other
Enumeration date
05/08/2019
Last updated
05/08/2019
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