Individual
AMANDA MILLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1811 MONTVIEW, CANYON LAKE, TX 78133
(832) 465-8403
Mailing address
1811 MONTVIEW, CANYON LAKE, TX 78133
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
743242
TX
Other
Enumeration date
09/01/2020
Last updated
09/02/2020
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