Individual
AMANDA CHEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4801 ALBERTA AVE, EL PASO, TX 79905-2707
(915) 215-8000
Mailing address
4801 ALBERTA AVE, EL PASO, TX 79905-2707
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
BP10085752
TX
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
05/29/2023
Last updated
07/06/2023
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