Individual
AMANDA KRISTEEN QUALLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
227 PINE ST APT 13, CHADRON, NE 69337-2258
(308) 530-1328
Mailing address
PO BOX 102, CODY, NE 69211-0102
(308) 530-1328
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
Primary
—
—
372600000X
Adult Companion
—
—
Other
Enumeration date
09/01/2025
Last updated
09/01/2025
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