Individual
MRS. AMANDA JEAN ULLRICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN AAS
Contact information
Practice address
106 NORTH 4TH AVENUE, FERGUS FALLS, MN 56537-1034
(218) 998-3778
(218) 998-3187
Mailing address
37808 STATE HWY 87, FRAZEE, MN 56544
(218) 334-3499
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
0639659
MN
Other
Enumeration date
05/08/2007
Last updated
07/08/2007
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