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Individual

MRS. AMY MATTKE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN, IBCLC

Contact information

Practice address
40156 216TH ST, HURON, SD 57350-7524
(161) 241-8240
Mailing address
40156 216TH ST, HURON, SD 57350-7524
(161) 241-8240

Taxonomy

Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
R040657
SD

Other

Enumeration date
11/08/2020
Last updated
11/08/2020
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