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Individual

AMBER HENNRICH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2135 WINDSWEPT ESTATES DR, IMPERIAL, MO 63052-2234
(636) 343-7638
Mailing address
2135 WINDSWEPT ESTATES DR, IMPERIAL, MO 63052-2234
(636) 343-7638

Taxonomy

Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
2015035386
MO

Other

Enumeration date
04/26/2017
Last updated
04/26/2017
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