Individual
AMANDA VILLANUEVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
801 S WILLIS ST, ABILENE, TX 79605-2827
(325) 829-6597
Mailing address
801 S WILLIS ST, ABILENE, TX 79605-2827
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
194964
TX
Other
Enumeration date
02/26/2018
Last updated
02/26/2018
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