Individual
AMANDA VICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
809 W 7TH ST, WAYNE, NE 68787-1630
(402) 369-9287
Mailing address
809 W 7TH ST, WAYNE, NE 68787-1630
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
Primary
—
—
Other
Enumeration date
02/13/2025
Last updated
02/13/2025
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