Individual
AMBER DAWN BURTIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
410 S CALIFORNIA AVE, HASTINGS, NE 68901-6322
(402) 303-0372
Mailing address
410 S CALIFORNIA AVE, HASTINGS, NE 68901-6322
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
Primary
—
—
Other
Enumeration date
10/03/2019
Last updated
10/03/2019
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