Individual
AMANDA MARIE LOVILLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2000 TIDWELL RD APT 701, HOUSTON, TX 77093-6651
(713) 557-5089
Mailing address
2000 TIDWELL RD APT 701, HOUSTON, TX 77093-6651
(713) 557-5089
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
09/08/2008
Last updated
09/08/2008
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