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Individual

AMANDA WHITE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
7511 LEY RD, HOUSTON, TX 77028-2435
(817) 495-6567
Mailing address
7511 LEY RD, HOUSTON, TX 77028-2435
(817) 495-6567

Taxonomy

Speciality
Code
Description
License number
State
372500000X
Chore Provider
374700000X
Technician
3747A0650X
Attendant Care Provider
Primary
3747P1801X
Personal Care Attendant

Other

Enumeration date
03/23/2016
Last updated
03/23/2016
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