Individual
MRS. AMANDA LANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
209 N BELLS ST, ALAMO, TN 38001-1755
(731) 696-2505
(731) 696-4370
Mailing address
209 N BELLS ST, ALAMO, TN 38001-1755
(731) 696-2505
(731) 696-4370
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
181790
TN
Other
Enumeration date
04/29/2014
Last updated
04/29/2014
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