Individual
AMANDA LYNN GREGORY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1801 HICKMAN RD, DES MOINES, IA 50314-1597
(612) 741-7981
Mailing address
727 NORELL AVE N, STILLWATER, MN 55082-1947
(612) 741-7981
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/09/2026
Last updated
05/09/2026
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