Individual
AMBER WALLENBROCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4 HICKORY RIDGE RD, HILLSBORO, MO 63050-5100
(636) 481-6040
Mailing address
227 EAST MAIN ST, FESTUS, MO 63028-1952
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
2015017612
MO
Other
Enumeration date
06/17/2020
Last updated
06/17/2020
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