Individual
AMANDA RACHEL HONOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
332000000X
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1316044167
USCG HOUSTON-GALVESTON
TX
Enumeration date
01/14/2017
Last updated
01/14/2017
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