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Individual

AMANDA WIESE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CNIM

Contact information

Practice address
1449 HIGHWAY 6, SUITE 300, SUGAR LAND, TX 77478-5145
(281) 768-6730
(281) 768-6766
Mailing address
1449 HIGHWAY 6, SUITE 300, SUGAR LAND, TX 77478-5145
(281) 768-6730
(281) 768-6766

Taxonomy

Speciality
Code
Description
License number
State
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
Primary
CNIM 1606

Other

Enumeration date
09/28/2010
Last updated
09/28/2010
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