Individual
AMANDA LYNN MORENO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
460 WILDWOOD FOREST DR, SPRING, TX 77380-3884
(832) 485-3793
Mailing address
4115 LOUETTA RD APT 5204, SPRING, TX 77388-4871
(832) 378-0668
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
303430
TX
Other
Enumeration date
06/05/2019
Last updated
06/05/2019
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