Individual
MRS. AMANDA D HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
7634 COLD MTN, CONVERSE, TX 78109-1968
(210) 365-6188
Mailing address
7634 COLD MTN, CONVERSE, TX 78109-1968
(210) 365-6188
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
845600
TX
Other
Enumeration date
11/20/2020
Last updated
11/20/2020
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