Individual
AMANDA MARIE LELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1514 W 5TH ST, CLIFTON, TX 76634-1210
(254) 722-5684
Mailing address
1514 WEST 5TH STREET, P O BOX 387, CLIFTON, TX 76634
(254) 722-5684
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
594168
TX
Other
Enumeration date
02/16/2018
Last updated
02/16/2018
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