Individual
MRS. AMANDA CERDA KOCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
36065 SANTE FE AVE, FT. HOOD, TX 76544
(254) 553-3180
Mailing address
1142 LILAC LEDGE DR, TEMPLE, TX 76502-2178
(956) 223-7293
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
193001
TX
Other
Enumeration date
05/19/2021
Last updated
05/19/2021
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