Individual
AMY GUCK
Active
Individual
AMY GUCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, PHN
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
R128842-3
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
251K00000X
—
MN
Enumeration date
12/30/2014
Last updated
12/30/2014
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