Individual
AMBER MARIE SPAUSTAT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1210 E BASIN AVE, PAHRUMP, NV 89060-2101
(702) 205-0816
Mailing address
PO BOX 4035, PAHRUMP, NV 89041-4035
(702) 205-0816
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
09/21/2011
Last updated
08/05/2014
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