Individual
AMANDA NANTAIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
305 E LLANO ESTACADO BLVD, CLOVIS, NM 88101-3778
(575) 762-3848
(575) 762-3840
Mailing address
305 E LLANO ESTACADO BLVD, CLOVIS, NM 88101-3778
(269) 615-1485
(575) 762-3840
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP00008194
NM
Other
Enumeration date
07/21/2014
Last updated
09/19/2025
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