Individual
MRS. AMANDA LEANN GRANGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
676 THIGPEN RD, POLLOK, TX 75969-3629
(936) 240-4096
Mailing address
676 THIGPEN RD, POLLOK, TX 75969-3629
(936) 240-4096
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
338048
TX
Other
Enumeration date
10/09/2020
Last updated
10/09/2020
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