Individual
MISS AMBER LYNN NEVALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CST
Contact information
Practice address
1818 N MEADE ST, APPLETON, WI 54911-3454
(906) 280-5495
Mailing address
606 E FLORIDA AVE, APPLETON, WI 54911-1332
(906) 280-5495
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
—
—
Other
Enumeration date
12/29/2020
Last updated
12/29/2020
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