Individual
AMANDA ELIZANN ESPINOSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
4309 FAITH RD, WICHITA FALLS, TX 76308-3665
(940) 500-5516
Mailing address
4309 FAITH RD, WICHITA FALLS, TX 76308-3665
(940) 500-5516
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
312777
TX
Other
Enumeration date
12/09/2019
Last updated
12/09/2019
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