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Individual

AMBER MARIE WERNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
IDMT

Contact information

Practice address
9603 N 179TH DR, WADDELL, AZ 85355-4107
(623) 824-5353
Mailing address
9603 N 179TH DR, WADDELL, AZ 85355
(623) 824-5353

Taxonomy

Speciality
Code
Description
License number
State
1710I1003X
Independent Duty Medical Technicians
Primary

Other

Enumeration date
12/17/2009
Last updated
12/17/2009
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