Individual
AMBER DUNN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1565 SAINTE GENEVIEVE AVE, FARMINGTON, MO 63640-3454
(573) 756-5749
Mailing address
PO BOX 459, FARMINGTON, MO 63640-0459
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
058990
MO
Other
Enumeration date
11/01/2019
Last updated
11/01/2019
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