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Individual

AMY MICHELLE LEE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
87 INTERSTATE 10 N STE 225, BEAUMONT, TX 77707-2549
(409) 835-0228
(409) 835-0151
Mailing address
1013 WAGNER ST, PORT NECHES, TX 77651-2643
(409) 289-9044

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
839629
TX

Other

Enumeration date
08/14/2018
Last updated
08/14/2018
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