Individual
AMANDA SOSA CELAYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
504 N EVERTS ST, FORT STOCKTON, TX 79735-4813
(432) 290-4788
Mailing address
504 N EVERTS ST, FORT STOCKTON, TX 79735-4813
(432) 290-4788
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
216436
TX
Other
Enumeration date
09/04/2018
Last updated
09/04/2018
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