Individual
AMANDA RENEE GARY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
5726 W HAUSMAN RD STE 109, SAN ANTONIO, TX 78249-1651
(432) 284-0164
Mailing address
10503 NOBLE CYN, SAN ANTONIO, TX 78254-2232
(432) 284-0164
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
331018
TX
Other
Enumeration date
08/22/2018
Last updated
08/22/2018
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