Individual
AMANDA LEE STANSBURY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1205 E DAWN ST, GONZALES, LA 70737-4309
(225) 773-9694
Mailing address
1205 E DAWN ST, GONZALES, LA 70737-4309
(122) 577-3969
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
990086
LA
Other
Enumeration date
12/01/2022
Last updated
12/01/2022
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