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Individual

AMANDA SCALZO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
TRANSPORTATION

Contact information

Practice address
19031 S WHIMELY DR, CYPRESS, TX 77433
(281) 509-2255
Mailing address
19031 S WHIMELY DR, CYPRESS, TX 77433
(281) 509-2255

Taxonomy

Speciality
Code
Description
License number
State
347E00000X
Transportation Broker
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
47-4129290
TX
Enumeration date
10/19/2018
Last updated
10/19/2018
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