Provider Information for 1720863632
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AMBERLY PAIGE GARVIN
Sex: Female
NPI: 1720863632
Last Updated: 2023-08-29
Certification Date: 2023-08-29
Certification Date: 2023-08-29
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1720863632 | ||||||||
| Enumeration Date | 2023-08-29 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 240 NORTH BLVD HUNTINGTON, WV 25701-3136 United States Phone: 979-575-6856 | Fax: | ||||||||
| Primary Practice Address | 17774 CYPRESS ROSEHILL RD STE 400 CYPRESS, TX 77429-7815 United States Phone: 281-205-7997 | Fax: | ||||||||
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