Individual
DAVID AMAYA JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LVN
Contact information
Practice address
514 MISSISSIPPI ST, HARLINGEN, TX 78550-8079
(956) 493-0313
Mailing address
514 MISSISSIPPI ST, HARLINGEN, TX 78550-8079
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
232429
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1790847531
—
TX
Enumeration date
07/31/2018
Last updated
04/08/2020
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