Individual
AMBER MARIE JOHANNES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3874 AIRWAY LN NE, ALEXANDRIA, MN 56308-5290
(320) 295-2939
Mailing address
3874 AIRWAY LN NE, ALEXANDRIA, MN 56308-5290
(320) 295-2939
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
11/04/2022
Last updated
11/04/2022
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