Individual
BRANDY MOULTRIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6300 W INTERSTATE 40 STE 110, AMARILLO, TX 79106-2518
(806) 353-2700
Mailing address
6300 W INTERSTATE 40 STE 110, AMARILLO, TX 79106-2518
(806) 353-2700
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
695508
TX
Other
Enumeration date
10/07/2019
Last updated
10/07/2019
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