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Individual

AMANDA LENAE GUAJARDO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
1446 W MOORE AVE STE 206, TERRELL, TX 75160-2372
(972) 210-7350
(972) 210-7355
Mailing address
1446 W MOORE AVE STE 206, TERRELL, TX 75160-2372
(972) 210-7350
(972) 210-7355

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
1048884
TX

Other

Enumeration date
07/23/2025
Last updated
07/23/2025
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