Individual
AMANDA SKREDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
29817 THORNTON DRIVE, KINGSTON, IL 60145
(815) 517-7725
Mailing address
29817 THORNTON DR, KINGSTON, IL 60145-8545
(815) 517-7725
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
—
IL
Other
Enumeration date
07/03/2017
Last updated
07/21/2022
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