Individual
AMY ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
1906 WELLINGTON DR, GRAND PRAIRIE, TX 75051-3739
(806) 928-8516
Mailing address
1906 WELLINGTON DR, GRAND PRAIRIE, TX 75051
(806) 928-8516
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
341885
TX
Other
Enumeration date
02/04/2019
Last updated
02/04/2019
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