AMANDA WALLACE

FARGO, ND
NPI1760205835
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: ND  L12882)
Enumeration Date2024-11-06
Last Update Date2024-11-06
Business Address
AMANDA WALLACE AAS, LPN
2101 ELM ST N
FARGO, ND 58102-2417
Phone number: 701-239-3700
Mailing Address
AMANDA WALLACE AAS, LPN
2101 ELM ST N
FARGO, ND 58102-2417
Phone number: 701-239-3700
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