Individual
AMANDA BROOKE CRIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
13601 PRESTON RD STE 210W, DALLAS, TX 75240-4986
(972) 702-0300
Mailing address
13601 PRESTON RD STE 210W, DALLAS, TX 75240-4986
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
344811
TX
Other
Enumeration date
01/25/2021
Last updated
01/25/2021
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