Individual
AMANDA MICHELLE MAY VANVECKHOVEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5899 PRESTON RD STE 701, FRISCO, TX 75034-9592
(214) 308-1525
Mailing address
14744 AUDUBON LAKES DR, BATON ROUGE, LA 70810-8429
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
08/10/2021
Last updated
08/22/2022
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