Individual
AMBER ROSE MOON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
517 E HUGHSON ST, RANDOLPH, NE 68771-2510
(402) 360-3275
Mailing address
517 E HUGHSON ST, RANDOLPH, NE 68771-2510
(402) 360-3275
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
—
—
376K00000X
Nurse's Aide
Primary
117051
NE
Other
Enumeration date
07/01/2025
Last updated
07/01/2025
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