Individual
AMANDA HARTLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
910 KITTY HAWK RD, UNIVERSAL CITY, TX 78148-3806
(210) 945-2120
Mailing address
910 KITTY HAWK RD, UNIVERSAL CITY, TX 78148-3806
(210) 945-2120
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
251134
TX
Other
Enumeration date
04/14/2021
Last updated
04/14/2021
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