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Individual

AMANDA RACHEL HONOR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
8930 OCEAN DR, HANGAR 41, CORPUS CHRISTI, TX 78419-5201
(361) 939-6270
Mailing address
8930 OCEAN DR, HANGAR 41, CORPUS CHRISTI, TX 78419-5201
(361) 939-6270

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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