Individual
AMANDA TETER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
800 E 12TH ST, HASTINGS, NE 68901
(402) 461-7392
Mailing address
710 N TURNER AVE, HASTINGS, NE 68901-7621
(402) 461-7392
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
721
NE
Other
Enumeration date
10/23/2014
Last updated
10/23/2014
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